Periprosthetic Joint Infections: Current Concepts
Periprosthetic joint infection(PJI) is a disaster, the most dreaded complication of any arthroplasty. Different series mention different rates of infection ranging from 1.6% to 7% across primary and revision TJA’s. Single institutions with precise diagnostic criteria for PJI report lower incidences. As more shoulders and elbows are getting replaced, these have revealed infection rates with relative similarity to hips/knees. Cost implications apart, the impact on the quality of life of the patient is serious, with the conflict sometimes being deciding between aggressive attempts to achieve eradication versus conservatively keeping things quiescent.