Periprosthetic joint infection: modern aspects of prevention, diagnosis, and treatment

Area of Science:

• Orthopedic Surgery
• Infectious Diseases
• Biomedical Engineering

Background:

• Periprosthetic joint infection (PJI) is a severe complication following total joint arthroplasty (TJA).
• PJI rates range from 1-2% after primary TJA to 7% after revision TJA.
• Despite extensive research, controversies persist regarding PJI prevention, diagnosis, and treatment.

Purpose of the Study:

• To provide a concise summary of recent literature on PJI.
• To address current controversies in PJI management.
• To offer insights into diagnosis, treatment, and prevention strategies for PJI after TJA.

Main Methods:

• Literature review of recent publications on PJI.
• Synthesis of current evidence on diagnosis, treatment, and prevention.
• Analysis of controversies and consensus in PJI management.

Main Results:

• Recent literature highlights ongoing challenges in reducing PJI incidence.
• Diagnostic criteria and treatment protocols for PJI continue to evolve.
• Preventive measures show variable efficacy, requiring further investigation.

Conclusions:

• Effective PJI management requires a multidisciplinary approach.
• Standardized diagnostic and treatment guidelines are crucial for optimal outcomes.
• Continued research is essential to refine PJI prevention and treatment strategies.