Using an Algorithm to Choose the Surgical Tactics for the Treatment of Periprosthetic Infection of Large Joints

Background . The known methods of choosing the surgical treatment infectious complications arthroplasty large joints have their drawbacks. Aim study. To assess effectiveness proposed algorithm for tactics in patients with periprosthetic infection hip and knee joints. Materials analysis results 67 deep joints, who were clinic Irkutsk Scientific Centre Surgery Traumatology from 2014 to 2019. average age was 67.8 ± 6.3 years (from 36 81 years). 50.7 % men. In 42 patients, process developed area joint endoprosthesis, 25 – joint. divided into two groups depending on method tactics. first group consisted 47 whom choice performed as standard. 20 second group, determined using algorithm. includes determining degree risk maintaining prosthetic after evaluating additional criteria. Results Analysis showed that it possible arrest 61.7 cases, relief achieved 90 cases. Conclusion use infection, taking account factors criteria, makes determine type intervention is optimal each patient, contributes