Antibiotic Spacer Techniques in Hip and Knee

Jun 18, 2022 by in ORTHOPEDIC Comments Off on Antibiotic Spacer Techniques in Hip and Knee

Introduction Prosthetic joint infection (PJI) remains an uncommon but devastating complication following total hip arthroplasty (THA) and total knee arthroplasty (TKA), with a relatively low incidence of ∼1% to 2%…

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Antibiotics and Cement

Jun 18, 2022 by in ORTHOPEDIC Comments Off on Antibiotics and Cement

Introduction The use of antibiotics in cement predates the widespread use of systemic intravenous antibiotics for perioperative prophylaxis. In the 1950s, published data recommended avoiding administration of systemic antibiotics with…

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Management of Acute Periprosthetic Joint Infections

Jun 18, 2022 by in ORTHOPEDIC Comments Off on Management of Acute Periprosthetic Joint Infections

Introduction Periprosthetic joint infection (PJI) is a challenging and increasingly common complication after total joint arthroplasty (TJA). In 2009, 2.18% of both total hip arthroplasty (THA) and total knee arthroplasty…

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Workup of the Painful Total Hip Arthroplasty

Jun 18, 2022 by in ORTHOPEDIC Comments Off on Workup of the Painful Total Hip Arthroplasty

Preoperative Considerations Differentiating Hip Versus Spine Pathology When a patient presents with pain following total hip arthroplasty (THA), it is essential to remember that pain patterns from lumbar spine disorders…

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Troubleshooting the Direct Anterior Approach

Jun 18, 2022 by in ORTHOPEDIC Comments Off on Troubleshooting the Direct Anterior Approach

Introduction The only true intermuscular and internervous approach in total hip arthroplasty (THA), the direct anterior approach (DAA) continues to increase in popularity. Several proposed advantages have been attributed to…

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