title: Single-Stage Hip and Knee Exchange for Periprosthetic Joint Infection.
abstract: Periprosthetic joint infections following hip and knee arthroplasty are challenging complications for Orthopaedic surgeons to manage. The single-stage exchange procedure is becoming increasingly popular with promising results. At our Institute we have demonstrated favourable or similar outcomes compared to the 'gold-standard' two-stage exchange, and other published single-stage results. The aim of this study is to describe the patient selection criteria and perioperative steps in a single-stage exchange for hip and knee arthroplasty undertaken at our Institute. The outlined protocol can be performed using standard debridement, attention to detail and well-recognised reconstructive techniques.
authors.affiliation: Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK.
authors.forename: David A
authors.initials: DA
authors.lastname: George
authors.affiliation: Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK.
authors.forename: Sujith
authors.initials: S
authors.lastname: Konan
authors.affiliation: Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London, UK; The Princess Grace Hospital, London, UK; Institute of Sport, Exercise and Health, University College London, London, UK.
authors.forename: Fares S
authors.initials: FS
authors.lastname: Haddad
mesh_terms: D001170:Arthritis, Infectious / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D003646:Debridement; D006622:Hip Prosthesis / Q000009:adverse effects; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation / Q000379:methods
keywords: hip exchange arthroplasty; knee exchange arthroplasty; patient selection; periprosthetic joint infections; single-stage exchange; surgical technique