Does the use of iodine-coated or silver-coated implants make one-stage exchange arthroplasty possible in the management of patients with infected oncologic endoprosthesis?

Does the use of iodine-coated or silver-coated implants make one-stage exchange arthroplasty possible in the management of patients with infected oncologic endoprosthesis?

Authors: Michiel van de Sande, Hiroyuki Tsuchiya, Daisuke Inoue

RECOMMENDATION: Unknown. Current literature has advocated the advantages of surface-modified coating (e.g., silver-coated, iodine supported implants). Recently, there have been several low-quality, small-scale studies showing promising results for using surface-modified implants in one-stage exchange arthroplasty to treat infected oncologic endoprosthesis. However, to date there remains unsubstantiated evidence and large-scale, high-level evidence studies are necessitated.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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