The Knee, ISSN: 0968-0160, Vol: 28, Page: 422-427

Infected total knee replacement: How I do a one-stage revision

Morgan-Jones, Rhidian


As part of a session on the infected knee replacement at the British Orthopaedic Association congress in Liverpool, 2019, this topic was delivered as a lecture. The content and ideas of the lecture have been expanded to produce this article.


One-stage revision total knee replacement is not a new concept but remains controversial. This article is not written to persuade any surgeon to undertake the procedure but to simply give a working framework for how one surgeon performs the operation. We will cover the philosophy underpinning the rationale for single-stage revision (not 2-in-1 revision) including extensile exposure, a defined debridement protocol, reconstruction and fixation, antibiotic delivery and exclusion criteria.




The techniques outlined in this article should give confidence that one-stage revision knee replacement is a viable option when working within a multi-disciplinary team structure.

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