Articles | Volume 9, issue 1
https://doi.org/10.5194/jbji-9-75-2024
https://doi.org/10.5194/jbji-9-75-2024
Original full-length article
 | 
23 Feb 2024
Original full-length article |  | 23 Feb 2024

Do one-stage indications predict success following two-stage arthroplasty for chronic periprosthetic joint infection?

Michael M. Kheir, Christopher G. Anderson, Yu-Fen Chiu, and Alberto V. Carli

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Cited articles

Baker, P., Petheram, T. G., Kurtz, S., Konttinen, Y. T., Gregg, P., and Deehan, D.: Patient reported outcome measures after revision of the infected TKR: Comparison of single versus two-stage revision. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA, 21, 2713–2720, https://doi.org/10.1007/s00167-012-2090-7, 2013. 
Bialecki, J., Bucsi, L., Fernando, N., Foguet, P., Guo, S., Haddad, F., Hansen, E., Janvari, K., Jones, S., Keogh, P., McHale, S., Molloy, R., Mont, M. A., Morgan-Jones, R., Ohlmeier, M., Saldaña, A., Sodhi, N., Toms, A., Walker, R., and Zahar, A.: Hip and Knee Section, Treatment, One Stage Exchange: Proceedings of International Consensus on Orthopedic Infections, J. Arthroplasty, 34, S421–S426, https://doi.org/10.1016/j.arth.2018.09.026, 2019. 
Charlson, M. E., Pompei, P., Ales, K. L., and MacKenzie, C. R.: A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation, J. Chron. Dis., 40, 373–383, 1987. 
Choi, H.-R., Kwon, Y.-M., Freiberg, A. A., and Malchau, H.: Comparison of one-stage revision with antibiotic cement versus two-stage revision results for infected total hip arthroplasty, J. Arthroplasty, 28, 66–70, https://doi.org/10.1016/j.arth.2013.02.037, 2013. 
Dombrowski, M. E., Wilson, A. E., Wawrose, R. A., O'Malley, M. J., Urish, K. L., and Klatt, B. A.: A Low Percentage of Patients Satisfy Typical Indications for Single-stage Exchange Arthroplasty for Chronic Periprosthetic Joint Infection, Clin. Orthop. Relat. R., 478, 1780–1786, https://doi.org/10.1097/CORR.0000000000001243, 2020. 
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Short summary
Researchers in 2018 suggested guidelines to decide if a single surgery (one-stage exchange) could be used to treat a joint implant infection. We wanted to see how many patients met guidelines and if they had better outcomes. Very few patients with joint implant infections met guidelines for a single surgery. Also, being in good general health with a known cause of infection did not guarantee better results. This supports the need for a bigger study comparing one- and two-step treatments.
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