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Periprosthetic Infection: Revision Arthroplasty

  • Eustathios Kenanidis
  • Iakovos Vlastos
  • Fares E. Sayegh
  • Eleftherios Tsiridis
  • Rihard Trebše
  • Luigi Zagra
  • Eleonora Caboni
  • Gösta Ullmark
Chapter

Abstract

It is a severe complication of TJA with laborious management [1]. The main characteristics of the disease that compromise the treatment are:
  1. 1.
    The heterogeneity of the disease concerning:
    1. (a)

      Species and sensitivity of the bacteria involved among countries and hospitals

       
    2. (b)

      Patient’s characteristics

       
    3. (c)

      Lack of uniform classification

       
    4. (d)

      The timing of infection and local tissue presentation

       
    5. (e)

      Diagnosis of the disease

       
    6. (f)

      Creation of a universal effective treatment protocol

       
     
  2. 2.
    The existing studies:
    1. (a)

      Lack of high-quality prospective randomized studies [2].

       
    2. (b)

      Studies are mainly focused on the time free of infection but not to the functional improvement and mechanical failure [3].

       
    3. (c)

      The recent meta-analyses are based on data of low-quality previous studies where the virulence of microbes was different [3].

       
     

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
  • Iakovos Vlastos
    • 1
  • Fares E. Sayegh
    • 2
  • Eleftherios Tsiridis
    • 2
  • Rihard Trebše
    • 3
  • Luigi Zagra
    • 4
  • Eleonora Caboni
    • 4
  • Gösta Ullmark
    • 5
    • 6
  1. 1.Academic Orthopaedic UnitAristotle University Medical SchoolThessalonikiGreece
  2. 2.Academic Orthopaedic UnitPapageorgiou General Hospital, Aristotle University Medical SchoolThessalonikiGreece
  3. 3.Valdoltra Orthopedic HospitalAnkaranSlovenia
  4. 4.Hip DepartmentIstituto Ortopedico Galeazzi IRCCSMilanItaly
  5. 5.Uppsala UniversityUppsalaSweden
  6. 6.Department of OrthopaedicGävle hospitalGävleSweden

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