What are the indications and contraindications for a one-stage exchange arthroplasty for the treatment of chronic periprosthetic joint infections (PJIs)?

Authors: Peter Keogh, Andrew Toms, Akos Zahar, Fares Haddad, Shengjie Guo, S. McHale
RECOMMENDATION: One-stage exchange arthroplasty remains a viable option for the management of chronic PJIs. In patients with signs of systemic sepsis, extensive comorbidities, infection with resistant organisms, culture-negative infections and poor soft tissue coverage, one-stage exchange arthroplasty may not be a good option.
LEVEL OF EVIDENCE: Moderate
DELEGATE VOTE: Agree: 93%, Disagree: 5%, Abstain: 2% (Super Majority, Strong Consensus)

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