Description
This VTT transcript captures a detailed presentation by Lee Jeys on the complexities of managing recurrent periprosthetic joint infections (PJI) in patients following hip and knee replacement surgeries. Professor Jeys introduces his credentials, mentioning his position at the Royal Orthopedic Hospital and his extensive experience with both cancer and infection treatment. He highlights the emotional toll that recurrent infections can take on surgeons, emphasizing the difficulties faced when patients experience failure following surgical interventions.
The discourse covers various surgical techniques such as debridement, single-stage, and two-stage revisions, with the speaker noting that the success rates vary significantly, especially in recurrent cases. Jeys presents data indicating that the failure rates for recurrent infections can be alarmingly high, which informs his practice in treating these challenging cases.
He discusses the importance of multidisciplinary teams (MDTs) in improving patient outcomes and emphasizes the need for specialized input from microbiologists and plastic surgeons. Despite the challenges, he shares success stories and innovative treatment strategies, including the use of antibiotic-embedded materials and radical debridements.
The presentation also touches on the implications of multidrug-resistant organisms and the evolving approach to treatment, indicating a shift towards more aggressive single-stage revisions for patients with high-risk profiles rather than repeated two-stage procedures. Closing remarks suggest the necessity for resilience among surgical teams, the importance of quick responses to infections, and the benefits of early referrals to specialized centers.