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Is There a Role for Spacer Exchange in Two-Stage Exchange Arthroplasty for Periprosthetic Joint Infection?
| Content Provider | MDPI |
|---|---|
| Author | Kozaily, Elie Chisari, Emanuele Parvizi, Javad |
| Copyright Year | 2020 |
| Description | Periprosthetic joint infection (PJI) continues to be one of the most serious complications after hip and knee arthroplasty. The choice of surgical treatment depends on a multitude of factors like chronicity of infection, host factors, and institutional or surgeon experience. Two-stage exchange remains one of the most commonly used technique for chronic PJI in the United States of America. The intended two-stage revision may involve an additional interim procedure where the initial antibiotic cement spacer is removed and a new spacer is inserted. Mostly, the rationale behind spacer exchange is an additional load of local antibiotics before proceeding to reimplantation. There is no conclusive evidence whether a spacer exchange confers additional benefits, yet it delays reimplantation and exposes already fragile patients to the risks and morbidity of an additional surgery. |
| Starting Page | 2901 |
| e-ISSN | 20770383 |
| DOI | 10.3390/jcm9092901 |
| Journal | Journal of clinical medicine |
| Issue Number | 9 |
| Volume Number | 9 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2020-09-08 |
| Access Restriction | Open |
| Subject Keyword | Journal of clinical medicine Journal of Clinical Medicine Orthopedics Prosthetic Joint Infection Total Knee Arthroplasty Total Hip Arthroplasty Two Stage Exchange Spacer Spacer Exchange Reimplantation |
| Content Type | Text |
| Resource Type | Article |
