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World J Orthop. Sep 18, 2016; 7(9): 546-552
Published online Sep 18, 2016. doi: 10.5312/wjo.v7.i9.546
Implant retention after acute and hematogenous periprosthetic hip and knee infections: Whom, when and how?
Georgios K Triantafyllopoulos, Vasileios Soranoglou, Stavros G Memtsoudis, Lazaros A Poultsides
Georgios K Triantafyllopoulos, Vasileios Soranoglou, Lazaros A Poultsides, Department of Orthopaedic Surgery, Division of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY 10021, United States
Stavros G Memtsoudis, Department of Anesthesiology, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY 10021, United States
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: The authors have no potential conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Lazaros A Poultsides, MD, MSc, PhD, Department of Orthopaedic Surgery, Division of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, Weill Medical College of Cornell University, 535 East 70th Street, New York, NY 10021, United States. poultsidesl@hss.edu
Telephone: +1-212-7742387 Fax: +1-646-7978939
Received: April 25, 2016
Peer-review started: April 26, 2016
First decision: June 16, 2016
Revised: June 23, 2016
Accepted: July 11, 2016
Article in press: July 13, 2016
Published online: September 18, 2016
Processing time: 139 Days and 23.6 Hours
Core Tip

Core tip: An infected total joint arthroplasty represents a significant burden to patients, as well as to orthopaedic surgeons. Previously, irrigation and debridement with retention of implants has been advocated for certain types of periprosthetic infections. The purpose of the present paper is to review the indications, success rates and factors determining the outcome of this treatment option for periprosthetic infections of the hip and the knee.