Periprosthetic Joint Infection After TKR


Type

Onset

Definition

Treatment

1

Positive intraoperative culture

Two or more positive intraoperativecultures

Antibiotics

2

Acute postoperativeinfection

Infection less than 4 weekspostoperatively

Debridement with component retention and antibiotics

3

Acute hematogenousinfection

Infection in a previously well-functioning totalknee replacement subsequent to bacteremia

Debridement with component retention and antibiotics versus component removal

4

Chronic infection

Infection >4 weeks postoperatively

Component removal





References



1.

Bozic KJ, Ries MD. The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization. J Bone Joint Surg Am. 2005;87(8):1746–51.CrossRefPubMed


2.

Jamsen E, Huhtala H, Puolakka T, Moilanen T. Risk factors for infection after knee arthroplasty: a register-based analysis of 43,149 cases. J Bone Joint Surg Am. 2009;91(1):38–47.CrossRefPubMed


3.

Phillips JE, Crane TP, Noy M, Elliott TS, Grimer RJ. The incidence of deep prosthetic infections in a specialist orthopaedic hospital. A 15-year prospective survey. J Bone Joint Surg Br. 2006;88(7):943–8.CrossRefPubMed


4.

Suarez J, Griffin W, Springer B, Fehring T, Mason JB, Odum S. Why do revision knee arthroplasties fail? J Arthroplasty. 2008;23(6):99–103.CrossRefPubMed


5.

Mauerhan DR, Nelson CL, Smith DL, Fitzgerald Jr RH, Slama TG, Petty RW, Jones RE, Evans RP. Prophylaxis against infection in total joint arthroplasty. One day of cefuroxime compared with three days of cefazolin. J Bone Joint Surg Am. 1994;76(1):39–45.PubMed


6.

Lidwell OM. Clean air at operation and subsequent sepsis in the joint. Clin Orthop Relat Res. 1986;211:91–102.PubMed


7.

Smith RC, Mooar PA, Cooke T, Sherk HH. Contamination of operating room personnel during total arthroplasty. Clin Orthop Relat Res. 1991;271:9–11.PubMed

Oct 18, 2016 | Posted by in ORTHOPEDIC | Comments Off on Periprosthetic Joint Infection After TKR

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