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Review
. 2023 Oct 3;5(1):52.
doi: 10.1186/s42836-023-00205-3.

Management of soft tissues in patients with periprosthetic joint infection

Hongyi Shao  1 , Yixin Zhou  2
Affiliations
Review

Management of soft tissues in patients with periprosthetic joint infection

Hongyi Shao et al. Arthroplasty. .

Abstract

Background: Appropriate soft tissue management represents a critical step in treating periprosthetic joint infection (PJI). This review discusses relevant guidelines that surgeons should follow in the management of soft tissues in PJI treatment. BODY: It is imperative for arthroplasty surgeons to thoroughly debride and rebuild soft tissue with a good blood supply. Relevant guidelines that surgeons should follow rigorously include preoperative evaluation of soft tissue status and plan-making, adequate surgical area exposure, intraoperative removal of all necrotic and infected soft tissues, adequate coverage of soft tissue defects, timely postoperative assessment and management of soft tissues, wound management and proper rehabilitation.

Conclusion: Soft tissue management plays a critical role in the treatment of PJI. To improve the infection control rate and postoperative joint function, surgeons should be familiar with these general principles and rigorously practice them in PJI management.

Keywords: Management; Periprosthetic joint infection; Soft tissues.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Soft tissue defects after total knee arthroplasty
Fig. 2
Fig. 2
The patient developed left knee PJI after bilateral total knee arthroplasty. The sinus is situated just above the tibial tubercle
Fig. 3
Fig. 3
A Extended trochanteric osteotomy in a hip revision patient and (B) tibial tubercle osteotomy in a knee revision case
Fig. 4
Fig. 4
Lateral gutter release after knee arthrotomy
Fig. 5
Fig. 5
Release of the anterior superior acetabulum to expose the acetabulum
See this image and copyright information in PMC

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