Salvage Procedures for Management of Prosthetic Joint Infection After Hip and Knee Replacements

摘要: Background The increasing load placed by joint replacement surgery on health care systems makes infection, even with the lowest rates, a serious concern that needs to be thoroughly studied and addressed using all possible measures. Methods A comprehensive review of current literature salvage procedures for recurrent PJIs PubMed, EMBASE CINAHL has been conducted. Results Prolonged suppressive antibiotic therapy (PSAT), resection arthroplasty arthrodesis were most common performed. Suppressive is based use well tolerated long term antibiotics in controlling sensitive organisms. Resection which should reserved as last resort provided more predictable outcomes hip whereas was associated better knee. Various methods including internal external fixation have described. Conclusion Despite good union infection control complications occasionally requiring further surgical interventions.