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A Modern Approach to Biofilm-Related Orthopaedic Implant Infections pp 101–111Cite as

Algorithm to Diagnose Delayed and Late PJI: Role of Joint Aspiration

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Part of the book series: Advances in Experimental Medicine and Biology ((AMIDPH,volume 971))

Abstract

Total Joint Arthroplasty (TJA) continues to gain acceptance as the standard of care for the treatment of severe degenerative joint disease, and is considered one of the most successful surgical interventions in the history of medicine. A devastating complication after TJA is infection. Periprosthetic joint infection (PJI), represents one of the major causes of failure and remains a significant challenge facing orthopaedics today. PJI usually requires additional surgery including revision of the implants, fusion or amputations causing tremendous patient suffering but also a heavy health economics burden. PJI is at the origin of around 20–25 % of total knee arthroplasty (Bozic et al. 2010; de Gorter et al. 2015; Sundberg et al. 2015) and 12–15 % of total hip arthroplasty (Bozic et al. 2009; Garellick et al. 2014; de Gorter et al. 2015) failures.

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Author information

Authors and Affiliations

  1. Department of Septic Surgery, Orthopaedic-Trauma Unit, Department for the Musculoskeletal System, CHUV, Lausanne, Switzerland

    Olivier Borens

  2. Reconstructive and Septic Surgery Unit, Orthopaedic Surgery Department, Hospital Vall d’Hebron, Barcelona, Spain

    Pablo S. Corona

  3. Helios ENDO Klinik, Hamburg, Germany

    Lars Frommelt

  4. Uppsala University Hospital, Uppsala, Sweden

    Stergios Lazarinis

  5. Northumbria HelathCare NHS Foundation Trust, North Shields, UK

    Michael Richard Reed

  6. Centre for Reconstructive Surgery and Osteoarticular Infections and Scientific Project Coordinator, Orthopaedic Research at Institute Galeazzi, Milan, Italy

    Carlo Luca Romano

Authors
  1. Olivier Borens
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  2. Pablo S. Corona
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  3. Lars Frommelt
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  4. Stergios Lazarinis
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  5. Michael Richard Reed
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  6. Carlo Luca Romano
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Corresponding author

Correspondence to Olivier Borens .

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Editors and Affiliations

  1. Department of Biomedical Sciences Health, University of Milan, Milan, Italy

    Lorenzo Drago

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Borens, O., Corona, P.S., Frommelt, L., Lazarinis, S., Reed, M.R., Romano, C.L. (2016). Algorithm to Diagnose Delayed and Late PJI: Role of Joint Aspiration. In: Drago, L. (eds) A Modern Approach to Biofilm-Related Orthopaedic Implant Infections. Advances in Experimental Medicine and Biology(), vol 971. Springer, Cham. https://doi.org/10.1007/5584_2016_153

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