One-Stage Revision Arthroplasty in the Infected Total Knee Arthroplasty
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….
Two-Stage Revision of Infected Total Knee Arthroplasty
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…
The Role of Knee Aspiration in the Infected Total Knee Arthroplasty
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…
Clinical Diagnosis of the Infected Total Knee Arthroplasty
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…
Open Debridement and Polyethylene Exchange (ODPE) in the Infected Total Knee Arthroplasty
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…
Polymerase Chain Reaction (PCR) in the Infected Total Knee Arthroplasty
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…
Arthroscopic Debridement of Infected Total Knee Arthroplasty
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…
Antibiotic Suppression in the Infected Total Knee Arthroplasty
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 …
Sonication of Removed Implants in the Infected Total Knee Arthroplasty
© 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,…
Intraoperative Cultures for the Suspected Total Knee Arthroplasty Infection
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 …
