Does the use of cemented or cementless components at the time of reimplantation affect the success of treating chronic periprosthetic joint infections (PJIs)? If yes, what is the optimal antibiotic(s), dosage and cement to maximize antibiotic delivery and mechanical properties of the cement?

Authors: Laurens Manning, Guillem Bori, Mitchell R. Klement
RECOMMENDATION: There is no evidence to suggest that the use of cemented or cementless components at the time of reimplantation aff ects the success rate of infection treatment. However, the mode of fixation may aff ect implant survivorship. The bone mass and the quality should dictate the choice of implant and the mode of fi xation during reimplantation. If cemented prostheses are used, consideration should be given to the addition of antibiotics directed towards the infective organisms at the time of reimplantation.
LEVEL OF EVIDENCE: Consensus
DELEGATE VOTE: Agree: 93%, Disagree: 4%, Abstain: 3% (Super Majority, Strong Consensus)

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