Is it safe to retain a stable cement mantle for later use in patients undergoing resection arthroplasty for periprosthetic joint infections (PJIs)?

Authors: Douglas Dennis, Thiago Busato, Michael Kelly, Yair D. Kissin

RECOMMENDATION: Meticulous debridement and removal of all foreign material, including cement, should be part of resection arthroplasty in the management of PJIs. Limited data suggests that under strict conditions and following a meticulous surgical technique, a stable cement mantle in the femur may be left in place for later use in order to minimize damage to the femoral bone stock.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 63%, Disagree: 29%, Abstain: 8% (Super Majority, Weak Consensus)