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Periprosthetic Infection: Revision Arthroplasty

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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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Author information

Authors and Affiliations

  1. Academic Orthopaedic Unit, Aristotle University Medical School, Thessaloniki, Greece

    Eustathios Kenanidis M.D., Ph.D., M.Sc. & Iakovos Vlastos M.D.

  2. Academic Orthopaedic Unit, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece

    Fares E. Sayegh M.D., Ph.D. & Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  3. Valdoltra Orthopedic Hospital, Ankaran, Slovenia

    Rihard Trebše M.D., Ph.D.

  4. Hip Department, Istituto Ortopedico Galeazzi IRCCS, Milan, Italy

    Luigi Zagra M.D. & Eleonora Caboni M.D.

  5. Uppsala University, Uppsala, Sweden

    Gösta Ullmark M.D., Ph.D.

  6. Department of Orthopaedic, Gävle hospital, Gävle, Sweden

    Gösta Ullmark M.D., Ph.D.

Authors
  1. Eustathios Kenanidis M.D., Ph.D., M.Sc.
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  2. Iakovos Vlastos M.D.
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  3. Fares E. Sayegh M.D., Ph.D.
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  4. Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.
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  5. Rihard Trebše M.D., Ph.D.
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  6. Luigi Zagra M.D.
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  7. Eleonora Caboni M.D.
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  8. Gösta Ullmark M.D., Ph.D.
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Corresponding authors

Correspondence to Rihard Trebše , Luigi Zagra or Gösta Ullmark .

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Editors and Affiliations

  1. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis

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Kenanidis, E. et al. (2018). Periprosthetic Infection: Revision Arthroplasty. In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_28

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  • DOI: https://doi.org/10.1007/978-3-319-64177-5_28

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