What metrics should be considered to determine the timing of reimplantation after two-stage exchange arthroplasty of the infected hip or knee?

What metrics should be considered to determine the timing of reimplantation after two-stage exchange arthroplasty of the infected hip or knee?

Authors: Arash Aalirezaie, Job Diego Velázquez Moreno, Dirk-Jan Moojen

RECOMMENDATION: There are no definitive metrics to allow determination of optimal timing of reimplantation. Thus, timing of reimplantation should consider resolution of clinical signs of infection, down-trend in the serological markers and results of synovial analysis, if aspiration is performed.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 96%, Disagree: 3%, Abstain: 1% (Unanimous, Strongest Consensus)

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