Fungal Periprosthetic Infection after Total Knee Arthroplasty (Case Report and Review)

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The rate of periprosthetic infection (PJI) following primary total knee arthroplasty ranges from 0,5 to 6%, while after the revision arthroplasty PJI rate grows up to 13,6%. Despite the fact that PJI is more often caused by gram-positive microorganisms, the treatment of patients induced by gram-negative pathogens and fungi is the most complex and associated with the higher recurrence rate. This paper presents a positive two-stage treatment of a patient with fungal periprosthetic infection with a review of current medical literature. Revision, sanation of infection site and implantation of articulating antibacterial spacer was performed in the first stage of treatment. The second stage, which was the implantation of a revision prosthesis, followed in 6 months after removal of infection nidus. Subsequently the authors obtained good functional outcomes and stopping the infection process.

作者简介

S. Bozhkova

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru
Svetlana A. Bozhkova — Dr. Sci. (Med.), Head of the Research Department of Prevention and Treatment of Wound Infection and Department of Clinical Pharmacology 俄罗斯联邦

P. Ivanov

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: fake@neicon.ru
Pavel P. Ivanov — Orthopedic Surgeon 俄罗斯联邦

E. Zemlyanskaya

Vreden Russian Research Institute of Traumatology and Orthopedics

编辑信件的主要联系方式.
Email: zemlliza@yandex.ru
Elizaveta A. Zemlyanskaya — Orthopedic Surgeon 俄罗斯联邦

N. Kornilov

Vreden Russian Research Institute of Traumatology and Orthopedics;
Mechnikov North-Western State Medical University

Email: fake@neicon.ru

Nikolai N. Kornilov — Dr. Sci. (Med.), Professor, Chair of Traumatology and Orthopedics; Head of Trauma and Orthopedic Department

Professor, Chair of Traumatology and Orthopedics

俄罗斯联邦

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