Musculoskeletal Key

Salvage Procedures: Knee Arthrodesis, Resection Arthroplasty, Amputation James B. Stiehl, MD, MBA INTRODUCTION Complex problems of the knee such as severe trauma, chronic infection, or failed total joint arthroplasty require…

Soft-Tissue Coverage for Infected Total Knee Arthroplasty Kevin A. Raskin, MD Soft-tissue competency is critical toward the success in the surgical management of infected total knee arthroplasty. The unfortunate nature…

Reimplantation After Infection Charles S. Carrier, MD Antonia F. Chen, MD, MBA INTRODUCTION Reimplantation during a two-stage exchange arthroplasty performed for periprosthetic-joint infection (PJI) is a pivotal step and can…

Débridement and Implant Retention and Nonsurgical Options for Implant Salvage Darin J. Larson, MD Kevin L. Garvin, MD INTRODUCTION Total knee arthroplasty (TKA) has been one of the most successful…

Microbes and Antibiotics Sandra B. Nelson, MD Laura K. Certain, MD, PhD MICROBIOLOGY OF PERIPROSTHETIC KNEE INFECTIONS Many bacterial species and some nonbacterial pathogens have been implicated as causes of…

Diagnosing Infection Karim G. Sabeh, MD Hany S. Bedair, MD CASE A 59-year-old female who underwent bilateral total knee arthroplasty (TKA) 12 years ago for advanced osteoarthritis presents with atraumatic,…

Prevalence, Prevention, and Economic Implications of Infection After Total Knee Arthroplasty Stephen J. Nelson, MD Patrick K. Strotman, MD James A. Browne, MD INTRODUCTION Periprosthetic joint infection (PJI) is one…

Cementless Revision Total Knee Arthroplasty Leo A. Whiteside, MD Implant fixation, bone reconstruction, and ligament balancing are the three primary goals of revision total knee arthroplasty (Fig. 70-1). After failure…