Publication Title
Arthroplast Today
Document Type
Article
Publication Date
12-1-2020
Keywords
washington; seattle; swedish neuro
Abstract
A 58-year-old female treated at an outside facility with knee arthrodesis due to persistent periprosthetic joint infection fulfilled all prerequisites for a conversion back to arthroplasty, as part of a 2-stage revision. Owing to the detection of Candida parapsilosis, the treatment concept was converted to a three-stage procedure. A scheduled spacer exchange with additional amphotericin B-loaded polymethylmethacrylate was conducted as an intermediate revision before reimplantation. Conversion in the setting of fungal periprosthetic joint infection presents a challenge, and successful treatment hinges on the use of proper antifungal and antimicrobial protocols, advanced surgical techniques, and a multidisciplinary team approach. At the 3-year follow-up, successful infection eradication as measured by the Delphi-based consensus definition was achieved with a range of motion of 0°-100°.
Area of Special Interest
Orthopedics & Sports Medicine
Area of Special Interest
Neurosciences (Brain & Spine)
Specialty/Research Institute
Orthopedics
Specialty/Research Institute
Neurosciences
Specialty/Research Institute
Surgery
