{
  "abstract": "Introduction: Periprosthetic joint infection (PJI) after total knee arthroplasty (TKA) remains a devastating complication, particularly in patients with associated periarticular hardware. Traditional two-stage revisions recommend complete hardware removal to ensure full resolution of the infection; however, this decreases mechanical stability, introduces susceptibility to fractures, and larger incisions with soft tissue disruption. Case Repot: We report the case of a 67-year-old male with a chronic PJI following TKA and distal femur fixation. The infected prosthesis and intra-articular plate segment were removed, while the proximal portion of the plate was retained for stability. The infection was eradicated following staged revision and targeted antibiotic therapy. At the 29-month follow-up, the patient remained infection-free and able to bear full weight. Conclusion: This case illustrates that partial hardware retention may be a viable alternative in select patients requiring both infection control and structural preservation.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedic Surgery, The University of Toledo Medical Center, Toledo, OH."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Joseph Boesel",
      "orcid": "0009-0005-2849-5820"
    },
    {
      "affs": [
        0
      ],
      "name": "Ibrahim Ifetiha",
      "orcid": "0009-0004-7323-6011"
    },
    {
      "affs": [
        0
      ],
      "name": "Neal Chase Farmer",
      "orcid": "0009-0006-6993-1999"
    },
    {
      "affs": [
        0
      ],
      "name": "David Yatsonsky",
      "orcid": "0000-0002-4173-8322"
    },
    {
      "affs": [
        0
      ],
      "name": "Maged Hanna",
      "orcid": "0000-0003-2031-0201"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/de0h3gb4fw8h5.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8418",
  "fulltext_url": "https://jocr.co.in/wp/2026/11/management-of-periprosthetic-total-knee-infection-with-partial-hardware-removal-a-case-report/",
  "id": "de0h3gb4fw8h5",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://doi.org/10.13107/jocr.2026.v16.i11.8418",
  "language": "en",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC925-935"
    ],
    [
      "lcc",
      "RD701-811"
    ],
    [
      "openalex",
      "2746|Orthopedic Infections and Treatments"
    ]
  ],
  "openalex": "W7225592972",
  "pdf_url": "https://europepmc.org/articles/PMC13740930?pdf=render",
  "pmcid": "PMC13740930",
  "pmid": "42997108",
  "published": "2026-11-01",
  "publisher": "Indian Orthopaedic Research Group",
  "ris": "https://research.draconitic.com/paper/de0h3gb4fw8h5.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T14:21:35Z",
      "native_id": "20fa22bdef3e450d90846b444e65c419",
      "source": "doaj",
      "url": "https://doi.org/10.13107/jocr.2026.v16.i11.8418"
    },
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997108",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997108"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Orthopedic Infections and Treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Management of Periprosthetic Total Knee Infection with Partial Hardware Removal: A Case Report",
  "title_text": "Management of Periprosthetic Total Knee Infection with Partial Hardware Removal: A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-10T03:20:49Z",
  "url": "https://research.draconitic.com/paper/de0h3gb4fw8h5",
  "venue": "Journal of Orthopaedic Case Reports",
  "versions": []
}