Management of Periprosthetic Joint Infection: The More We Learn,the Less We Know |
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| Affiliation: | 1. Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá D.C., Colombia;2. Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, School of Medicine, Universidad de Los Andes, School of Medicine, Universidad del Rosario, Bogotá D.C., Colombia;3. Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, School of Medicine, Universidad del Rosario, Bogotá D.C., Colombia;1. Rothman Institute, Philadelphia, Pennsylvania;2. Sidney Kimmel Medical College, Philadelphia, Pennsylvania;1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL;2. Department of Emergency Medicine, Rush University Medical Center, Chicago, IL |
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| Abstract: | BackgroundDespite the tremendous and long-standing success of total hip arthroplasty and total knee arthroplasty as treatments for end-stage arthritis, periprosthetic joint infection (PJI) remains a rare but feared complication of these procedures.MethodsThis review highlights some of the difficulties inherent to studying PJI. These include the difficulty in powering studies to capture this relatively uncommon complication, as well as the heterogeneity in clinical presentation and manifestations associated with the diagnosis and treatment of PJI.ConclusionWe suggest an algorithm for moving forward with new research in an attempt to answer the challenging questions facing the arthroplasty community regarding PJI. |
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| Keywords: | periprosthetic joint infection total hip arthroplasty total knee arthroplasty diagnosis of PJI management of PJI |
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