Does prior septic arthritis (aerobic, anaerobic, fungal, tuberculosis) of a native joint predispose the patients to an increased risk of subsequent periprosthetic joint infection (PJI) in the same joint receiving arthroplasty? If yes, how soon after a prior septic arthritis can elective arthroplasty be performed in the same joint?

Authors: Saravanan Sankaranarayanan Arumugam, Elie Ghanem, Gwo-Chin Lee, Segei Oshkukov, Viktor Voloshin, Kyle H. Cichos

RECOMMENDATION: Yes. A prior septic arthritis in a joint does predispose the same joint to subsequent PJI after arthroplasty. In the absence of concrete evidence, we recommend that arthroplasty be delayed at least until completion of antibiotic treatment and resolution of clinical signs of infection, but no earlier than three months from the inciting event.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 87%, Disagree: 9%, Abstain: 4% (Super Majority, Strong Consensus)

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