What indicators/metrics would compel a surgeon to perform resection arthroplasty and antibiotic spacer insertion, delaying the arthroplasty to a later date, in a patient with prior septic arthritis undergoing primary arthroplasty?

Authors: Jean-Yves Jenny, Yale Fillingham

RECOMMENDATION: Patients with active septic arthritis or chronic osteomyelitis of the hip or knee may be best treated with a two-stage arthroplasty. Evidence would suggest a limited risk of infections recurrence following a one-stage arthroplasty in the presence of a quiescent septic
arthritis.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 85%, Disagree: 11%, Abstain: 4% (Super Majority, Strong Consensus)

hk06