Fate of Two-stage Reimplantation After Failed Irrigation and Débridement for Periprosthetic Knee Infection

Description: Questions/purposes We determined the rerevision rate due to infection after two-stage reimplantation performed for failed irrigation and débridement of infected TKA.
Conclusions The failure rate in this series of two-stage revisions for periprosthetic knee infection in patients treated with previous irrigation and débridement is considerably higher than previously reported failure rates of two-stage revision. Factors affecting the failure rate may include host quality, thoroughness of débridement, and organism virulence. Patients and surgeons must understand that irrigation and débridement, while initially attractive, may lead to high failure rates of subsequent two-stage reimplantation.
CORR 2010 Volume 469, Number 1, 18-25, J. Christopher Sherrell, Thomas K. Fehring, Susan Odum, Erik Hansen, Benjamin Zmistowski, Anne Dennos & Niraj Kalore