Related Experiment Video
Updated: Nov 26, 2025
10:35
Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
11.4K
Infected total knee replacement: How I do a one-stage revision
1University Hospital Llandough & Spire Hospital, Cardiff, United Kingdom; Schoen Clinic Orthopaedic and Spinal Hospital, 66 Wigmore Street, London W1U 2SB, United Kingdom; Schoen Clinic Orthopaedic and Spinal Hospital, London 66, Wigmore Street, London W1U 2SB.
The Knee
|December 14, 2020
Summary
This article provides a framework for performing one-stage revision total knee replacement, a controversial procedure. It details the surgical philosophy, debridement, reconstruction, and antibiotic delivery for this complex intervention.
Area of Science:
- Orthopaedic Surgery
- Infectious Disease Management
Background:
- The article expands on a lecture presented at the 2019 British Orthopaedic Association congress regarding infected knee replacements.
- One-stage revision total knee replacement is a discussed but controversial surgical option.
Purpose of the Study:
- To present a working framework for performing one-stage revision total knee replacement.
- To outline the rationale and techniques employed by a single surgeon for this procedure.
Main Methods:
- Discussion of the philosophy behind single-stage revision (not 2-in-1 revision).
- Details on extensile exposure, debridement protocol, reconstruction, and fixation.
- Explanation of antibiotic delivery and exclusion criteria for patient selection.
Main Results:
- No specific results were presented as the article focuses on methodology and framework.
Conclusions:
- The outlined techniques aim to build confidence in performing one-stage revision knee replacement.
- Successful implementation relies on a multidisciplinary team approach.
