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these are my disclosures none of which are related to the talk thank you very much for having me today so we all know that the possible options for infection weamp;#39;ve talked about too already right now weamp;#39;re going to move on and talk about the one-stage protocol so this was originally popularized back in hamburg germany at the endoclinic in the 1970s but until recently here in the united states the procedure was approached with caution there was conflicting evidence whether or not two-stage revision was better than one stage and thatamp;#39;s why a lot of people didnamp;#39;t end up using it plus there is some but there is some potential advantages to a single stage including cost and maybe improved function and reduce postoperative morbidity the key with the pre-operative evaluation is that you do need cultures because you do need a positive bacteria in order to be a candidate for one stage of my practice i do consult the patients and say that there are risks with the d