Treatment of Periprosthetic Knee Infection With Concurrent Rotational Muscle Flap Coverage Is Associated With High Failure Rates

Experiences during Switching from Two-Stage to One-Stage Revision Arthroplasty for Chronic Total Knee Arthroplasty Infection

“…In the hip series, no patient was excluded because of a skin defect, while in the knee series it was a fairly common situation. In these patients, a 2-stage revision was a better option than a single-stage revision, for two reasons: firstly, because any soft tissue defects can be fixed initially, along with a cement spacer [ 32 ], and, secondly, because patients who require plastic surgery for a skin defect often need more than one surgery [ 33 ]; a 1-stage revision would imply re-exposing the final prosthesis to the risk of a new infection. The presence of severe soft tissue deficiency over the joint is a contraindication described by the University College London Hospital (UCLH) [ 8 ], the Infectious Diseases Society of America (ISDA) [ 22 ], and a relative contraindication described in the ICM 2018 [ 34 ].…”

Infecção periprotética do joelho – Parte 2: Tratamento

“…Patients classified as host type C and with soft tissue involvement requiring coverage procedures have a high rate of recurrence of infection requiring arthrodesis, amputation or antibiotic suppression. 57,58 Resection arthroplasty has the theoretical advantages of limb preservation, of no need for implants or synthesis material, possibility of knee flexion and theoretical gait capacity with immobilizer and compensation of dysmetry. 59 Antibiotic suppression is indicated as a rescue measure in patients who are unable to undergo new surgical procedures.…”

“…Patients classified as host type C and with soft tissue involvement requiring coverage procedures have a high rate of recurrence of infection requiring arthrodesis, amputation or antibiotic suppression. 57 58 …”

“…Pacientes classificados como hospedeiros tipo C e com acometimento de partes moles que requeira procedimentos de cobertura têm alto índice de recorrência de infecção necessitando de artrodese, de amputação ou de supressão antibiótica. 57 58 …”

“…Pacientes classificados como hospedeiros tipo C e com acometimento de partes moles que requeira procedimentos de cobertura têm alto índice de recorrência de infecção necessitando de artrodese, de amputação ou de supressão antibiótica. 57,58 A artroplastia de ressecção tem as vantagens teóricas de preservação do membro, de não haver necessidade de implantes ou de material de síntese, possibilidade de flexão do joelho e capacidade teórica de marcha com imobilizador e compensação da dismetria. 59 A supressão antibiótica está indicada como medida de salvamento em pacientes que não têm condições de serem submetidos a novos procedimentos cirúrgicos.…”