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…
© 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_4 4. Depilation and Skin Preparation to Prevent an Infected Total Knee Arthroplasty Carlos Kalbakdij-Sánchez1 , Gregorio Arroyo-Salcedo1 and E. Carlos Rodríguez-Merchán1 (1) Department of…
