Periprosthetic joint infection

Bhaveen H. Kapadia, Richard A. Berg, Jacqueline A. Daley, Jan Fritz, Anil Bhave, Michael A. Mont

Research output: Contribution to journalReview article

Abstract

Summary Periprosthetic joint infections are a devastating complication after arthroplasty and are associated with substantial patient morbidity. More than 25% of revisions are attributed to these infections, which are expected to increase. The increased prevalence of obesity, diabetes, and other comorbidities are some of the reasons for this increase. Recognition of the challenge of surgical site infections in general, and periprosthetic joint infections particularly, has prompted implementation of enhanced prevention measures preoperatively (glycaemic control, skin decontamination, decolonisation, etc), intraoperatively (ultraclean operative environment, blood conservation, etc), and postoperatively (refined anticoagulation, improved wound dressings, etc). Additionally, indications for surgical management have been refined. In this Review, we assess risk factors, preventive measures, diagnoses, clinical features, and treatment options for prosthetic joint infection. An international consensus meeting about such infections identified the best practices and further research needs. Orthopaedics could benefit from enhanced preventive, diagnostic, and treatment methods.

Original languageEnglish (US)
Pages (from-to)386-394
Number of pages9
JournalThe Lancet
Volume387
Issue number10016
DOIs
StatePublished - Jan 23 2016

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Kapadia, B. H., Berg, R. A., Daley, J. A., Fritz, J., Bhave, A., & Mont, M. A. (2016). Periprosthetic joint infection. The Lancet, 387(10016), 386-394. https://doi.org/10.1016/S0140-6736(14)61798-0