What factors may improve the outcome of a two-stage exchange arthroplasty in patients with an infected oncologic endoprosthesis?

Authors: Paul Jutt e, Hesham Abdelbary, Claudia Löwik

RECOMMENDATION: There are numerous factors that improve the outcome of two-stage exchange arthroplasty in general, and after oncologic reconstruction in particular. These include host-related factors (such as host optimization by treating anemia, malnutrition, hyperglycemia, immunosuppressive state and so on), organism-related factors (such as administration of appropriate systemic and local antibiotics) and surgery-related factors (such as aggressive debridement of soft tissue and bone, optimal soft tissue management and prevention of postoperative complications).

LEVEL OF EVIDENCE: Limited

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

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