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Developing Standardized Treatments and Identifying Early Indicators of Infection in Patients with Prosthetic Joints

Cost & Quality Academy—November 1, 2017

Cost & Quality Academy featured HSS hip & knee surgeon Mathias P. Bostrom, MD in an article about best practices when treating a joint replacement infection at HSS.

"While we see a lot of prosthetic joint infections, a vast majority are from outside of our hospital. The index procedure was not done at HSS, but our team works together to manage those infections through our standardized protocols," Dr. Bostrom said.

The article reported that HSS implements the two-stage revision process, which includes removing the implant and placing an antibiotic spacer in the joint. Once the infection is gone, patients typically undergo a reimplantation surgery.

"Performing a two-stage revision is certainly the standard of care at HSS. While there are a few appealing parts to a single-stage revision, there is a higher risk that the infection will not be eliminated," Dr. Bostrom noted.

"It’s important to have a team that follows a protocol to the approach of infections," he added.

This article appeared in the November 2017 print issue.


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