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Skeletal Radiology
Published in: Skeletal Radiology 6/2020

01-06-2020 | Antibiotic | Review Article

Prosthetic joint infections: diagnosis, management, and complications of the two-stage replacement arthroplasty

Authors: Jack Porrino, Annie Wang, Austin Moats, Hyojeong Mulcahy, Kimia Kani

Published in: Skeletal Radiology | Issue 6/2020

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Abstract

Despite improved strategies to prevent prosthetic joint infection, as the total number of joint replacements increases, so does the absolute number of infections. Radiography serves as the first-line imaging modality for the assessment of a suspected prosthetic joint infection. Additionally, serial radiographs acquired after a surgery to eradicate a prosthetic joint infection are an important clinical tool. Prosthetic joint infections are often treated with a 2-stage replacement arthroplasty utilizing a prosthesis with antibiotic-loaded acrylic cement. While complications are uncommon with this procedure, imaging may demonstrate periprosthetic fractures, as well as spacer migration, joint dislocation, and spacer fracture. We describe the classification of prosthetic joint infections, the clinical and imaging diagnosis, and treatment strategies. Familiarity with the hardware utilized in the management of the prosthetic joint infection, and its potential complications is fundamental to accurate imaging interpretation.
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Metadata
Title
Prosthetic joint infections: diagnosis, management, and complications of the two-stage replacement arthroplasty
Authors
Jack Porrino
Annie Wang
Austin Moats
Hyojeong Mulcahy
Kimia Kani
Publication date
01-06-2020
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 6/2020
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-020-03389-w

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