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Article: Team Approach: The Management of Infection After Total Knee Replacement

TitleTeam Approach: The Management of Infection After Total Knee Replacement
Authors
Issue Date2018
PublisherThe Journal of Bone and Joint Surgery, Inc. The Journal's web site is located at http://reviews.jbjs.org
Citation
JBJS Reviews, 2018, v. 6 n. 4, article no. e9 How to Cite?
AbstractDiagnosis and management of infection after total knee arthroplasty are challenging. They require a multidisciplinary team approach, much like the management of musculoskeletal tumors. Patients presenting with suspected infection after total knee arthroplasty require diagnostic confirmation, medical optimization, comprehensive surgical care that may include measures to cover the soft tissues, administration of long-term antibiotics, and extended rehabilitation to improve outcome. Surgeons should work closely with infectious disease specialists or microbiologists at every step to minimize the perioperative risks of reinfection, should decide on the most appropriate surgical modality and antibiotic regime, and should monitor the response to therapy. The current evidence on the best surgical management of infection after total knee arthroplasty (debridement and retention of prostheses compared with 1-stage exchange or 2-stage exchange arthroplasty) is lacking. Randomized, prospective studies that are under way may provide this much-needed information.
Persistent Identifierhttp://hdl.handle.net/10722/260551
ISSN

 

DC FieldValueLanguage
dc.contributor.authorYan, CH-
dc.contributor.authorArciola, CR-
dc.contributor.authorSoriano, A-
dc.contributor.authorLevin, LS-
dc.contributor.authorBauer, TW-
dc.contributor.authorParvizi, J-
dc.date.accessioned2018-09-14T08:43:35Z-
dc.date.available2018-09-14T08:43:35Z-
dc.date.issued2018-
dc.identifier.citationJBJS Reviews, 2018, v. 6 n. 4, article no. e9-
dc.identifier.issn2329-9185-
dc.identifier.urihttp://hdl.handle.net/10722/260551-
dc.description.abstractDiagnosis and management of infection after total knee arthroplasty are challenging. They require a multidisciplinary team approach, much like the management of musculoskeletal tumors. Patients presenting with suspected infection after total knee arthroplasty require diagnostic confirmation, medical optimization, comprehensive surgical care that may include measures to cover the soft tissues, administration of long-term antibiotics, and extended rehabilitation to improve outcome. Surgeons should work closely with infectious disease specialists or microbiologists at every step to minimize the perioperative risks of reinfection, should decide on the most appropriate surgical modality and antibiotic regime, and should monitor the response to therapy. The current evidence on the best surgical management of infection after total knee arthroplasty (debridement and retention of prostheses compared with 1-stage exchange or 2-stage exchange arthroplasty) is lacking. Randomized, prospective studies that are under way may provide this much-needed information.-
dc.languageeng-
dc.publisherThe Journal of Bone and Joint Surgery, Inc. The Journal's web site is located at http://reviews.jbjs.org-
dc.relation.ispartofJBJS Reviews-
dc.titleTeam Approach: The Management of Infection After Total Knee Replacement-
dc.typeArticle-
dc.identifier.emailYan, CH: yanchoi@hku.hk-
dc.identifier.authorityYan, CH=rp00303-
dc.identifier.doi10.2106/JBJS.RVW.17.00058-
dc.identifier.pmid29664872-
dc.identifier.hkuros291584-
dc.identifier.volume6-
dc.identifier.issue4-
dc.identifier.spagearticle no. e9-
dc.identifier.epagearticle no. e9-
dc.publisher.placeUnited States-

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