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…
Fig. 11.1 Basics of polymerase chain reaction (PCR) cycling (original image from “Kavya SR. PCR Technique with its Application. Research & Reviews: Journal of Microbiology and Biotechnology. 2015; 4–1”) Both…
Paper/reference No. of knees Duration of symptoms Success rate Comments Flood et al. [19] 2 <12 h 100% Gram +ve organisms with sensitivity Waldman et al. [21] 16 <7 days…
Microorganism Antibiotic Three times daily Two times daily Once time daily MS S. aureus MS coagulase-negative Staphylococcus Streptococcus spp. Propionibacterium acnes Amoxicillin/clavulanic acid 500–800/125 mg X Clindamycin 300 mg X …
© Springer International Publishing AG 2018E. Carlos Rodríguez-Merchán and Sam Oussedik (eds.)The Infected Total Knee Arthroplastyhttps://doi.org/10.1007/978-3-319-66730-0_14 14. Sonication of Removed Implants in the Infected Total Knee Arthroplasty Enrique Gómez-Barrena1 and Eduardo García-Rey1 (1) Department of Orthopaedic Surgery,…
Technique/action With implementation Without implementation or against rival procedure Comments Sensitivity (%) Specificity (%) Sensitivity (%) Specificity (%) Withholding antibiotic prior to sampling >2 weeks [10] 76.9 N/a 41.2 N/a …
Major criteria 1. Two positive periprosthetic (tissue or fluid) cultures with matching organisms 2. A sinus tract communicating with the joint Minor criteria 1. Having three of the following five minor criteria: (a) Increased…
MSIS definition of PJI PJI exists when: 1. There is a sinus tract communicating with the prosthesis 2. A pathogen is isolated by culture from two or more separate tissue…
