Periprosthetic Joint Infection (PJI) – Expert Care for Joint Implant Infections

At The Fracture & Orthopaedic Clinic, we specialize in diagnosing and treating periprosthetic joint infections (PJI)—a serious but treatable complication after joint replacement surgery. Our experienced team, led by Dr. Srinivasan K, Dr. Shankar R. Kurpad, and Dr. Kamini Kurpad, provides advanced infection management and revision surgery options to help restore joint function and eliminate infection.

What is Periprosthetic Joint Infection (PJI)?

PJI occurs when bacteria or other pathogens infect the area around an artificial joint (prosthesis). This can cause pain, swelling, and implant failure, requiring medical or surgical intervention.

Causes of Periprosthetic Infection

• Bacterial Contamination – During or after surgery.
• Hematogenous Spread – Infection spreads from another part of the body through the bloodstream.
• Poor Wound Healing – Inadequate healing can lead to infection.
• Compromised Immune System – Conditions like diabetes or rheumatoid arthritis increase the risk.

Symptoms of PJI

• Persistent Joint Pain – Beyond normal post-surgical recovery.
• Swelling & Redness – Around the operated joint.
• Warmth & Tenderness – Signs of localized infection.
• Wound Drainage – Pus or fluid leaking from the incision.
• Implant Loosening & Instability – Leading to difficulty in movement.
• Fever & Fatigue – Systemic signs of infection.

Treatment Options for Periprosthetic Infection

1. Non-Surgical Management (Early Infections)

• Antibiotic Therapy – Targeted treatment to control infection.
• Joint Aspiration & Culture Tests – To identify bacteria and guide treatment.
• Debridement & Implant Retention (DAIR) – Cleaning the infected area while preserving the implant.

2. Surgical Treatment (For Chronic or Severe Infections)

• Single-Stage Revision – Removal of the infected implant and replacement with a new one in a single procedure.
• Two-Stage Revision – The infected implant is removed, and a temporary spacer with antibiotics is placed before final replacement.
• Arthrodesis (Joint Fusion) – In cases where a replacement is not possible.
• Amputation (Rare Cases) – As a last resort when infection spreads uncontrollably.

Why Choose The Fracture & Orthopaedic Clinic?

• Expert Team in PJI Management – Led by Dr. Srinivasan K, Dr. Shankar R. Kurpad, and Dr. Kamini Kurpad.
• Advanced Diagnostic & Treatment Techniques – Including targeted antibiotic therapy and revision surgery.
• Personalized Treatment Plans – Based on infection severity and patient health.
• Comprehensive Rehabilitation Support – Ensuring complete recovery post-treatment.

If you are experiencing pain, swelling, or signs of infection after joint replacement, early treatment is crucial to prevent complications. Book an appointment today for expert evaluation and care!