Abstract
Repeat two-stage revision for knee periprosthetic joint infection (PJI) is an effective method of treatment. However, there is a higher prevalence of failure in those subjects with poor general health based on the MSIS (Musculoskeletal Infection Society score), inadequate soft tissue envelope, and resistant bacteria. Seventy-eight percent of subjects experience reimplantation after a repeat implant removal. Of those who complete the second-stage surgery, 37% experience additional revision for infection and 14% experience amputation. The reinfection-free implant survivorship amounts to 77% after 1 year and 38% after 5 years. Knee arthrodesis should be strongly considered as the treatment of choice for subjects who have persistent infected total knee arthroplasty (TKA) after a failed two-stage reimplantation procedure.
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Rodríguez-Merchán, E.C. (2023). Repeat Two-Stage Revision for Knee Periprosthetic Joint Infection. In: Rodríguez-Merchán, E.C. (eds) Advances in Orthopedic Surgery of the Knee. Springer, Cham. https://doi.org/10.1007/978-3-031-33061-2_15
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DOI: https://doi.org/10.1007/978-3-031-33061-2_15
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