One-stage exchange may be noninferior to two-stage for PJI
A one-stage approach to treat patients with periprosthetic joint infections after primary total knee and hip arthroplasty offers noninferior outcomes to two-stage treatment, according to recently published results.
“The caveat here is that you have to follow a very specific protocol,” Thomas Fehring, MD, a hip and knee surgeon at OrthoCarolina Hip and Knee Center, told Healio. “You must do a meticulous debridement when taking out the implants. You then have to take all the dirty instruments out of the room, bring in clean instruments, then re-prep and re-drape. Hence, this is a fairly