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

• Main Authors: S. A. Bozhkova, P. P. Ivanov, E. A. Zemlyanskaya, N. N. Kornilov
• Format: Article
• Language: Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2019-12-01
• Series: Travmatologiâ i Ortopediâ Rossii
• Subjects: knee arthroplasty; periprosthetic infection; fungal periprosthetic infection
• Online Access: https://journal.rniito.org/jour/article/view/1351

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.