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When it comes to the treatment of periprosthetic joint infection following total knee arthroplasty, patients will usually undergo a one-stage or two-stage exchange. Although other techniques are available, not all techniques have the best result if the implant is not removed.

“We are all frustrated that irrigation and debridement has a 60% to 70% failure rate regardless of when they are done, so that is usually not a good option. It is certainly an option that we all want to work and the patient wants it to work, unfortunately it does not work well,” Thomas K. Fehring, MD, co-director at the OrthoCarolina Hip and Knee center, told Orthopedics Today.

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