Published online Dec 26, 2022. doi: 10.12998/wjcc.v10.i36.13239
Peer-review started: August 10, 2022
First decision: November 11, 2022
Revised: November 15, 2022
Accepted: December 5, 2022
Article in press: December 5, 2022
Published online: December 26, 2022
Processing time: 138 Days and 10.7 Hours
Periprosthetic joint infection (PJI) is a catastrophic complication after total knee arthroplasty (TKA).
This study aimed to retrospectively analyze 27 patients with PJI who were treated with one-stage debridement, implant removal, antibiotic bone cement spacer exclusion, and two-stage revision and compare their preoperative and follow-up results.
This study aimed to explore the clinical effect of one-stage debridement, implant removal, antibiotic bone cement spacer exclusion, and two-stage revision in the treatment of PJI after TKA.
Of 27 patients with PJI treated with two-stage revision surgery were analyzed retrospectively. The following outcomes were compared for changes between preoperative and last follow-up results: Erythrocyte sedimentation rate, C-reactive protein, visual analogue scale scores, Hospital for Special Surgery scores, knee range of motion, and infection cure rates.
Of the 27 patients, 26 were cured of the infection, whereas 1 case had an infection recurrence; the infection control rate was 96.3%.
Two-stage revision surgery can effectively relieve pain, control infection, and retain good joint function in the treatment of PJI after TKA.
Whether the PJI can be cured using the one-stage debridement, implant removal, antibiotic bone cement spacer exclusion, and two-stage revision.