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A two-stage treatment protocol and intravenous antibiotics may help surgeons effectively manage infections after total knee arthroplasty, according to a Texas surgeon.

Richard E. Jones, MD, said during his presentation at the 9th Annual Current Concepts in Joint Replacement Spring Meeting, “All in all, we can say that the two-stage technique gives us good delivery of antibiotics, helps clean up infections, maintains soft tissue length and enhances rehabilitation and joint restoration.”

…”Remember that the CRP after surgery goes down within 3 weeks,” Jones said. “The sed rate takes about 3 months before it goes down.” He also highlighted the unreliability of sinus cultures and instead recommended that surgeons obtain deep tissue cultures.