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Total Knee Arthroplasty Associated Infections: Treatment Strategies

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Total Knee Arthroplasty

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Abstract

Periprosthetic joint infection (PJI) continues to challenge the orthopedic community. As the need for total knee arthroplasty (TKA) continues to increase and is more frequently being performed in younger patients, the absolute number of infected patients is expected to increase. Currently, infection after TKA is the leading reason for early readmission and the main cause of revision arthroplasty within the first two years after surgery. There is no perfect treatment option; rather, there are a variety of alternatives that carry their own set of benefits and flaws. Moreover, clinical results of these treatment options are always expected to be lower than the outcomes achieved after a primary TKA. The accuracy in selecting the appropriated treatment option for each patient is key for achieving positive results. Each case should be considered with all available evidence to successfully eradicate the infection and prevent reinfection. This chapter describes the different treatment options, their indications, steps, and the available up-to-date results for treating PJI after TKA.

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Authors and Affiliations

  1. Orthopaedic Department, The Rothman Institute at Thomas Jefferson University, 125 S 9th Street, Philadelphia, PA, 19107, USA

    Jorge Manrique MD, Miguel M. Gomez MD, Antonia F. Chen MD, MBA & Javad Parvizi MD, FRCS

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  1. Jorge Manrique MD
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  2. Miguel M. Gomez MD
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  3. Antonia F. Chen MD, MBA
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  4. Javad Parvizi MD, FRCS
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Correspondence to Javad Parvizi MD, FRCS .

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Editors and Affiliations

  1. "La Paz" University Hospital-IdiPaz, Madrid, Spain

    E. Carlos Rodríguez-Merchán

  2. University College London Hospitals, London, United Kingdom

    Sam Oussedik

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Manrique, J., Gomez, M.M., Chen, A.F., Parvizi, J. (2015). Total Knee Arthroplasty Associated Infections: Treatment Strategies. In: Rodríguez-Merchán, E., Oussedik, S. (eds) Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-17554-6_18

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  • DOI: https://doi.org/10.1007/978-3-319-17554-6_18

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