Surgical Treatment of Prosthetic Joint Infections of the Hip and Knee: Changing Paradigms?


Journal Article

Prosthetic joint infection (PJI) of the hip and knee remains one of the most common and feared arthroplasty complications. The impact and cost of PJI is significant, both to the patient and to the health care system. Recent reports of results of different treatment strategies have led many surgeons to modify their approach to management of PJI. This paper will explore apparent paradigm shifts, both to indications and technique, including the importance of waiting for bacterial identification, the decreasing role for irrigation and debridement (I&D) with retention of components, the increased utilization of single stage revision, and conversely a decreasing role for two-stage exchange. Strategies for treating drug-resistant organisms and management of failed treatment will also be examined.

Full Text

Duke Authors

Cited Authors

  • Jiranek, WA; Waligora, AC; Hess, SR; Golladay, GL

Published Date

  • June 2015

Published In

Volume / Issue

  • 30 / 6

Start / End Page

  • 912 - 918

PubMed ID

  • 25922125

Pubmed Central ID

  • 25922125

Electronic International Standard Serial Number (EISSN)

  • 1532-8406

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2015.03.014


  • eng

Conference Location

  • United States