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Clinical roundup on Periprosthetic Joint Infections (PJI)
myAO Clinical Roundup on Periprosthetic Joint Infections (PJI) 


 How should a clinician tackle the management and treatment of a Periprosthetic Joint Infection (PJI)? An individualized approach must be developed for each patient, one that integrates appropriate surgical intervention and antimicrobial strategies. 
 
The diagnosis and treatment of PJI can be complex and require the collaboration of a multidisciplinary health care team. Knowing and managing the risks factors that predispose arthroplasty patients to PJI can go a long way in minimizing the chances for infection, as well as implementing improved infection control procedures and hygiene protocol adherence. But if a PJI does take hold, evidence-based algorithms and international recommendations for treatment offer great guidance towards resolving the problem.

See this article for detailed information on AO's individualized approach to treating PJI.
 
It is the aim of this roundup to give an overview on the current knowledge shared on myAO concerning Periprosthetic Joint Infection.
Recommended groups related to CAS and IGS
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About this group: Diagnosis and management of one of the most devastating and costly complications following joint arthroplasty

Group Owner: Farouk Khury, Israel 
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About this group: Infected nonunion of the long bones

Group Owner; Sandeep Gupta, India  
AO expert webinars on PJI 
Watch
Infection after Joint Arthroplasty

Consultants: Olivier Borens, Andrej Trampuz
Learning objectives: Recognize the importance of interdisciplinary treatment of prosthetic joint infection (PJI) for success. Describe the most important diagnostic tools for diagnosing infection after total joint arthroplasty. Define and classify PJI. Explain the best possible and patient-adapted treatment algorithm for the patient presenting with PJI. Describe the basics of local and systemic antibiotic treatment. (July 5, 2019) 
Watch
Treatment of the Infected Hip and Knee Replacement 
 
Consultants: Carsten Perka, Bas Masri
Learning Objectives: Describe how to manage the chronically infected hip and knee replacement. Identify when to use one stage or two stage exchange arthroplasty. Describe how to manage the acutely infected hip and knee replacement. (May 8, 2020) 
Recommended science on PJI 
A Case Illustrating the Practical Application of the AAOS Clinical Practice Guideline: Diagnosis and Prevention of Periprosthetic Joint Infection


Chen, Antonia F. MD, MBA; Riedel, Stefan MD, PhD, D(ABMM)
Journal of the American Academy of Orthopaedic Surgeons: December 15, 2020 Read more
 
Definition of Successful Infection Management and Guidelines for Reporting of Outcomes After Surgical Treatment of Periprosthetic Joint Infection: From the Workgroup of the Musculoskeletal Infection Society (MSIS)
Yale A Fillingham, Craig J Della Valle, Linda I Suleiman, Bryan D Springer, Thorsten Gehrke, Stefano A Bini, John Segreti, Antonia F Chen, Karan Goswami, Timothy L Tan, Noam Shohat, Claudio Diaz-Ledezma, Adam J Schwartz, Javad Parvizi
The Journal of Bone and Joint Surgery: July 17, 2019 Read more
 
Successful treatment of periprosthetic joint infection caused by Granulicatella para-adiacens with prosthesis retention: a case report
Nora Renz, Fabienne Chevaux, Olivier Borens, Andrej Trampuz
BMC Musculoskelet Disord. 2016; 17: 156 Read more 
Clinical roundup on Periprosthetic Joint Infections (PJI)
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