Two-stage revision for the infected total knee arthroplasty: The gold standard

摘要

Infection in total knee arthroplasty is a devastating complication requiring the surgeon to weigh duration of symptoms, host factors, and the characteristics of the afflicting agent when devising a management strategy. Due to its well-documented success rate, most centers in North America prefer a two-stage revision strategy. This approach allows for higher likelihood of foreign material removal and eradication of the infecting pathogen. Although the success of single-stage exchange arthroplasty has been noted in the literature, its use should be relegated to a highly selective patient population.