Beginning resident (maximum assistance and supervision) Mid-residency (moderate assistance and supervision) Senior resident (minimal assistance and supervision) Preoperative (preop plan as guide) Resident to read about procedure preoperatively. Preoperative…
Figure 2.1 Orthopaedic education in India, the UK, and Germany This chapter hopes to explore how orthopaedic residencies are presently organized in each country, what recent changes have occurred, and…
Fig. 21.1 Residual limb after amputation secondary to an infected TKA. Taking into account that surgery was performed 3 weeks before, the stump still shows edema but not hematomas. Note…
Fig. 20.1 Infected revision TKA with loss of soft tissue coverage, extensor mechanism failure, and exposure of the underlying implant. The patient subsequently underwent knee arthrodesis for limb salvage 20.3…
Fig. 8.1 Plain radiographs: (a) Anteroposterior and (b) lateral radiographs of a TKA demonstrating unspecific osteolysis and subchondral sclerosis (arrows). These findings made us suspect an infection 8.3 Fistulography In…
Fig. 18.1 Left PJI knee infection, with a sinus Fig. 18.2 Complete excision of all necrotic tissue Fig. 18.3 Minimal bone loss seen after removal of the tibial component Fig….
Fig. 19.1 (a–e) Intraoperative views obtained during the first surgical stage in the patient before removing the implant (a) and after implant removal (b). (c) Extracted components. (d) Trial articulating…
1. Sinus tract communicating with the prosthesis 2. Pathogen isolated by culture from at least two separate tissue or fluid samples obtained from the affected prosthetic joint 3. Four of following six criteria…
Prosthetic etiologies • Periprosthetic infection • Aseptic loosening • Polyethylene wear • Periprosthetic fracture • Flexion instability • Anterior knee pain—unresurfaced patella, patellar maltracking Extra-articular etiologies • Soft tissue pain—bursitis, ligament strain, tendinitis • Complex regional pain syndrome…
Fig. 17.1 Medial parapatellar arthrotomy and aspiration of the articular fluid to analyze with the aim of identifying the causing microorganism Fig. 17.2 Intraoperative photograph of a patient with an…
