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Review
. 2018 Sep;30(3):138-146.
doi: 10.5371/hp.2018.30.3.138. Epub 2018 Sep 4.

Management of Periprosthetic Joint Infection

Cheng Li  1 , Nora Renz  1 , Andrej Trampuz  1
Affiliations
Review

Management of Periprosthetic Joint Infection

Cheng Li et al. Hip Pelvis. 2018 Sep.

Abstract

Periprosthetic joint infection (PJI) is a serious complication after arthroplasty, which is associated with pain, prolonged hospital stay, multiple surgeries, functional incapacitation, and even mortality. Using scientific and efficient management protocol including modern diagnosis and treatment of PJI and eradication of infection is possible in a high percentage of affected patients. In this article, we review the current knowledge in epidemiology, classification, pathogenesis, diagnosis and treatment of PJI.

Keywords: Arthroplasty; Implants; Infection; Joint prosthesis.

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Conflict of interest statement

CONFLICT OF INTEREST: The authors declare that there is no potential conflict of interest relevant to this article.

Figures

Fig. 1
Fig. 1. Treatment algorithm of periprosthetic joint infection (PJI).
Fig. 2
Fig. 2. Surgical treatment of periprosthetic joint infection (PJI).
wk: week; i.v.: intravenously; p.o.: per oral.
See this image and copyright information in PMC

References

    1. Ulrich SD, Seyler TM, Bennett D, et al. Total hip arthroplasties: what are the reasons for revision. Int Orthop. 2008;32:597–604. - PMC - PubMed
    1. Oleske DM, Bonafede MM, Jick S, Ji M, Hall JA. Electronic health databases for epidemiological research on joint replacements: considerations when making cross-national comparisons. Ann Epidemiol. 2014;24:660–665. - PubMed
    1. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–785. - PubMed
    1. Zimmerli W, Trampuz A, Ochsner PE. Prosthetic-joint infections. N Engl J Med. 2004;351:1645–1654. - PubMed
    1. Achermann Y, Vogt M, Spormann C, et al. Characteristics and outcome of 27 elbow periprosthetic joint infections: results from a 14-year cohort study of 358 elbow prostheses. Clin Microbiol Infect. 2011;17:432–438. - PubMed

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