Our Summary

This research paper explores how to manage infections that occur around artificial joint implants, specifically knee replacements. This type of infection is a serious and complex issue that can arise after a knee replacement procedure. The paper presents the latest knowledge and methods for addressing these infections. This includes how to diagnose the problem, how to prepare for the surgery, the surgical treatment itself, and what to expect after the operation. The paper also discusses different surgical strategies like one-stage and two-stage revision surgeries, and the process of cleaning and reshaping the infected area.

FAQs

  1. What is Periprosthetic Joint Infection (PJI) following total knee arthroplasty?
  2. What are the surgical treatment options for managing PJI of the knee?
  3. What does the pre-operative planning process involve for a patient with PJI of the knee?

Doctor’s Tip

One helpful tip a doctor might tell a patient about knee replacement is to follow all post-operative care instructions carefully, including proper wound care, physical therapy exercises, and medication management. It is important to attend all follow-up appointments and communicate any concerns or changes in pain levels to your healthcare provider promptly. Staying active and maintaining a healthy weight can also help improve the long-term success of the knee replacement surgery.

Suitable For

Patients who are typically recommended for knee replacement surgery are those who have severe knee pain and stiffness that limits their daily activities, and have not experienced relief from other conservative treatments such as medications, physical therapy, or injections. Other factors that may indicate the need for knee replacement surgery include advanced arthritis, significant joint damage, deformity, or instability in the knee joint. Additionally, patients who are relatively young and active may also be considered for knee replacement surgery if their quality of life is significantly affected by their knee pain and stiffness.

Timeline

Before knee replacement:

  1. Consultation with a orthopedic surgeon to discuss options for knee replacement surgery.
  2. Pre-operative assessments, including physical exams, blood tests, and imaging studies.
  3. Education on the procedure, risks, benefits, and expected outcomes.
  4. Planning for post-operative care, including physical therapy and pain management.

After knee replacement:

  1. Hospital stay for initial recovery, typically 1-3 days.
  2. Physical therapy to regain strength and range of motion in the knee.
  3. Pain management to control discomfort during the healing process.
  4. Follow-up appointments with the surgeon to monitor healing and address any concerns.
  5. Gradual return to normal activities, with full recovery taking several months.
  6. Long-term monitoring of the knee replacement for any signs of complications, such as infection.

What to Ask Your Doctor

  1. What are the risks and benefits of knee replacement surgery?
  2. How long is the recovery process and what can I expect during that time?
  3. What type of knee implant will be used and why?
  4. What is the success rate of knee replacement surgery in terms of reducing pain and improving function?
  5. What are the potential complications or side effects of knee replacement surgery?
  6. How long will the knee implant last and will I need additional surgeries in the future?
  7. What is the rehabilitation process like after surgery and how can I ensure a successful recovery?
  8. How can I prevent complications such as infection following knee replacement surgery?
  9. What steps can I take to ensure the best possible outcome for my knee replacement surgery?
  10. Are there any alternative treatments or therapies that I should consider before opting for knee replacement surgery?

Reference

Authors: Gehrke T, Alijanipour P, Parvizi J. Journal: Bone Joint J. 2015 Oct;97-B(10 Suppl A):20-9. doi: 10.1302/0301-620X.97B10.36475. PMID: 26430083