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Preventing Infections in Unicompartmental Knee Arthroplasty

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Unicompartmental Knee Arthroplasty

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Abstract

Periprosthetic joint infection (PJI) is an uncommon complication after unicompartmental knee arthroplasty (UKA) but leads to significant morbidity and mortality. Prevention is one of the most important strategies in combating PJI after UKA. There are many prevention strategies, and they can be categorized as preoperative, intraoperative, or postoperative. Preoperative strategies emphasize medically optimizing the host, modifying patient risk factors for PJI, appropriate skin cleansing, and infection screening. Intraoperative strategies are focused on creating and maintaining a sterile environment, antibiotic prophylaxis, and limiting operating room time. Postoperative strategies are focused on avoiding allogeneic blood transfusions, utilizing aspirin for venous thromboembolic event prophylaxis, and antibiotic prophylaxis prior to dental, genitourinary, or gastrointestinal procedures. Future research is warranted to determine the most cost-effective and clinically efficacious strategies to preventing PJI after UKA.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Charles P. Hannon

  2. Adult Reconstruction Division, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Craig J. J. Della Valle

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  1. Adult Reconstruction Division, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Tad L. Gerlinger

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Hannon, C.P., Della Valle, C.J.J. (2020). Preventing Infections in Unicompartmental Knee Arthroplasty. In: Gerlinger, T. (eds) Unicompartmental Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-27411-5_19

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