Access myAO top knowledge and experts on Periprosthetic Joint Infections
myAO Clinical Roundup on Periprosthetic Joint Infections (PJI)
How should a clinician tackle the management and treatment of aPeriprosthetic Joint Infection (PJI)? An individualized approach must be developed for each patient, one that integrates appropriatesurgical interventionandantimicrobial 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 improvedinfection control proceduresandhygiene 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 articlefor detailed information on AO's individualized approach to treating PJI.
It is the aim of this roundup to give an overview on thecurrent knowledge shared on myAOconcerning Periprosthetic Joint Infection.
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)
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