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60 Treatment of Infected Total Knee Replacement: Concept, Surgical Options and Antibiotic Therapy

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The Unhappy Total Knee Replacement

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Abstract

The number of total knee replacement (TKR) infections is expected to increase along with the growing number of TKR implanted. The ultimate aim in treating TKR infections is to regain a pain free and functional joint. Whenever possible, the joint should also be free of infection. In order to achieve these goals, a clear treatment concept is needed.

The treatment concept is based on five pillars: teamwork, understanding biofilm, proper diagnostics, proper definition and classification, and patient-tailored treatment. These five concepts will be discussed with emphasis on surgical treatment using two-stage revision. Two-stage revision with short interval with interim cement spacer has shown to have a high success rate in treating TKR infection.

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Author information

Authors and Affiliations

  1. Orthopaedic and Traumatology Service Septic Surgical Unit, Lausanne University Hospital, Lausanne, Switzerland

    Olivier Borens MD (PD (Asst. Prof.) & Erlangga Yusuf MD

  2. Department of Medical Microbiology and Infection Control, Universitair Ziekenhuis Brussel, Brussels, Belgium

    Erlangga Yusuf MD

Authors
  1. Olivier Borens MD
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  2. Erlangga Yusuf MD
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Corresponding author

Correspondence to Erlangga Yusuf MD .

Editor information

Editors and Affiliations

  1. Dept. Orthopaedic Surgery & Traumatology, Knee Surgery Unit, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland

    Michael T. Hirschmann

  2. Dept. Orthopaedics & Traumatology, Hospital Brandenburg, Brandenburg/Havel, Germany

    Roland Becker

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Borens, O., Yusuf, E. (2015). 60 Treatment of Infected Total Knee Replacement: Concept, Surgical Options and Antibiotic Therapy. In: Hirschmann, M., Becker, R. (eds) The Unhappy Total Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-08099-4_71

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  • DOI: https://doi.org/10.1007/978-3-319-08099-4_71

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08098-7

  • Online ISBN: 978-3-319-08099-4

  • eBook Packages: MedicineMedicine (R0)

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