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Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection
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 conve...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7772458/ https://www.ncbi.nlm.nih.gov/pubmed/33385048 http://dx.doi.org/10.1016/j.artd.2020.10.007 |
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author | Frieler, Sven Yilmaz, Emre Goodmanson, Ryan Hanusrichter, Yannik Schildhauer, Thomas A. Baecker, Hinnerk |
author_facet | Frieler, Sven Yilmaz, Emre Goodmanson, Ryan Hanusrichter, Yannik Schildhauer, Thomas A. Baecker, Hinnerk |
author_sort | Frieler, Sven |
collection | PubMed |
description | 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°. |
format | Online Article Text |
id | pubmed-7772458 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-77724582020-12-30 Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection Frieler, Sven Yilmaz, Emre Goodmanson, Ryan Hanusrichter, Yannik Schildhauer, Thomas A. Baecker, Hinnerk Arthroplast Today Case Report 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°. Elsevier 2020-12-05 /pmc/articles/PMC7772458/ /pubmed/33385048 http://dx.doi.org/10.1016/j.artd.2020.10.007 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Frieler, Sven Yilmaz, Emre Goodmanson, Ryan Hanusrichter, Yannik Schildhauer, Thomas A. Baecker, Hinnerk Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection |
title | Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection |
title_full | Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection |
title_fullStr | Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection |
title_full_unstemmed | Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection |
title_short | Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection |
title_sort | conversion from knee arthrodesis back to arthroplasty: a particular challenge in combination with fungal periprosthetic joint infection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7772458/ https://www.ncbi.nlm.nih.gov/pubmed/33385048 http://dx.doi.org/10.1016/j.artd.2020.10.007 |
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