For advanced grades, surgical treatments may include cheilectomy, which yields successful results in the early stages as it prevents constriction of osteophytes in the dorsal part (6); and for grade 3 and 4s, Keller resection arthroplasty
(7), phalangeal and metatarsal osteotomy (8), joint distraction, arthrodesis (9, 10), and total or partial arthroplasty are the preferred methods (11-13).
, or girdlestone, is the most common treatment for failed PJI management about the hip.
Surgery for osteoarthritis includes arthroscopic debridement, resection arthroplasty
, interposition arthroplasty, ulnohumeral prosthesis, total elbow prosthesis, and arthrodesis .
Girdlestone resection arthroplasty
following failed surgical procedures.
A case series of patients with PJI due to RGM suggested that resection arthroplasty
with appropriate antimycobacterial drugs resulted in the best chance for cure.
Autografting with the iliac crest bone is an another method that has been successfully used in revision TEA; however, the experience is limited and complications related to the bone harvest site are inevitable.[sup] Arthrodesis has also been tried in patients with deep infection as a salvage solution; unfortunately, the outcome has been poor, with none of the reported patients achieving bony union.[sup] Resection arthroplasty
is an another method that has been utilized; however, most patients receiving this surgery have fair or poor long-term results; thus, the authors have suggested that it should only be considered when all other attempts have failed.[sup]
, arthrodesis and amputation are other treatment methods [37, 17, 52, 2, 44].
Till date, arthrodesis in youngsters and resection arthroplasty
in the elders has been the treatment of choice.
The remaining two patients were treated with a resection arthroplasty
and with an amputation (both of them located in the humerus).
One hip (2.8%) underwent redebridement and resection arthroplasty
because of failure of infection control.
* Resection arthroplasty
of the carpometacarpal (CMC) joint is the gold standard for surgical treatment of thumb CMC osteoarthritis, but should be offered only if conservative measures fail.
Analysis of frozen sections of intraoperative specimens obtained at the time of reoperation after hip or knee resection arthroplasty
for the treatment of infection.