Joint replacement surgery is a boon to patients suffering from severe arthritis that require the replacement of the joint with a prosthetic joint. Over the years Joint replacement has provided significant relief to arthritis patients improving their mobility and restoring their joint unction with an extraordinary success rate. In fact, Dr Niraj Vora is one of the most successful joint replacement surgeons in Mumbai with a remarkable success rate in orthopaedic and joint replacement surgeries in Mumbai.
However, just like any major surgery, few cases may experience device failure resulting in additional surgery at some point along the line. The reasons for this surgery may vary depending on the patient, but the most common and serious causes of implant failure and revision surgery tends to be Prosthetic joint infection (PJI). In today’s blog, we are going to give you a brief introduction about this Prosthetic joint infection (PJI) by answering few frequently asked questions. Read on:
What is Prosthetic Joint Infection (PJI)?
The joint that is replaced by the implant and the adjacent tissue in few cases is colonized by bacteria causing an infection that results in morbidity, pain, and swelling and sometimes can result in fatality.
What causes Prosthetic Joint Infection (PJI)? What are its symptoms?
Prosthetic joint infection (PJI) can be caused by bacteria or fungus. The infection can happen during the surgery or perioperative period or it can even result from an infection much later (even from a cut anywhere in the body). Pain is the most common symptom and a primary indicator of Prosthetic joint infection (PJI). It can take many forms-swelling, warmth around the joint, or even drainage.
What are the types of Prosthetic joint Infections (PJI)?
Unfortunately, there are three major types of Prosthetic joint infections.Type-1 occurs within the first 3 months of surgical implantation, the second type occurs within 3 to 24 months post-implantation and the third major type occurs after 24 months. Immediate infections are considered acute PJI and infections after a year or so are categorized as chronic infections.
The majority of the early infections are caused by S aureus, delayed infections are a result of gram-negative aerobes and coagulase-negative S aureus (CoNS) – both these types are usually picked up during operating room. It is very important to identify the cause of Prosthetic joint Infections (PJI) to efficiently help in treatment.
What are the treatment options for Prosthetic joint Infections (PJI)?
Debridement, irrigation and component removal are part of the treatment procedure for PJI. The exact procedure depends upon the severity and type of infection – in some cases implant components are removed completely or in a few, partially. Infected bone is resected based on the infection level. However, reconstruction is performed by a joint replacement surgeon to help retain mobility.
How to prevent Prosthetic joint Infections (PJI)?
The chance of Prosthetic joint Infections (PJI) can be significantly reduced by proper patient care and pre-operative treatment which starts with selection. Depending upon the status of patients (physical tolerance, immunity level) few modifications like weight loss, diet, cessation of smoking, post-operative care and hygiene is recommended by the orthopaedic and joint replacement surgeon to prevent the possibility of PJI. At our clinic in Mumbai, Dr Niraj has a superb track record of successful joint replacement surgeries as we take perfect measures in optimizing preoperative health and also focus on patient education. If you are looking for joint replacement surgery in Mumbai or seeking more information on Prosthetic Joint Infections (PJI), you can contact Dr Niraj Vora here Call: +912266868600