The Orthobullets Podcast

Foundations⎪Recon⎪Prosthetic Joint Infection

6 snips
Mar 17, 2025
Explore the complexities of prosthetic joint infections, a significant risk after hip and knee surgeries. The discussion covers the latest strategies in diagnosis and treatment, highlighting the nuances between acute and chronic infections. Gain insights into the epidemiology of these complications and their impact on patient recovery. Perfect for frontline MSK providers looking to enhance their foundational knowledge on this critical topic!
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INSIGHT

PJI Incidence

  • Prosthetic joint infections (PJIs) are a serious complication after hip and knee replacements, often leading to revision surgery.
  • PJIs are more common in total knee arthroplasty (TKA) than total hip arthroplasty (THA).
INSIGHT

Infection Timing

  • Infections within 3-6 weeks post-op are acute, typically without biofilm.
  • Chronic infections occur after 3-6 weeks, with biofilm present on implants.
INSIGHT

PJI Diagnostic Criteria

  • The 2018 criteria for PJIs are based on major and minor criteria.
  • Major criteria include sinus tracts or two positive cultures from the joint.
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