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Current Concepts of Orthopedic Implants and Prosthetic Joint Infections

  • Chapter
Book cover Emerging Issues and Controversies in Infectious Disease

Part of the book series: Emerging Infectious Diseases of the 21st Century ((EIDC))

It is estimated that approximately two million fracture-fixation devices (intrame-dultory nails, external-fixation pins, plates, and screws) and about 600,000 joint prosthesis are inserted annually in the United States.1 Projected infections of joint prosthesis (average rate of 2%) is 12,000 and fracture-fixation devices (average 5%) is 1,000,000 annually. Infections of these orthopedic devices causes substantial morbidity and health care expenditure, with an estimated average cost for combined medical and surgical treatment of US$30,000 for an infected prosthesis, and US $15,000 for an infected fracture-fixation device.1 Hence a conservative estimate of US$1.8 billion is spent annually for the management of infected orthopedic implants in the United States.

Although progress has been made in the last decade on the pathogenesis of this biofilm infection, there is still considerable debate and lack of standardization on the diagnosis, methods to establish the bacteriology and management. Despite the enormity of the problems posed by these orthopedic implant infections in developed countries, there is a lack of proper controlled, randomized trials on medical and surgical therapy.

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  1. Professor of Medicine University of Toronto, St. Michael's Hospital, 30 Bond Street, Toronto, ON M5B 1W8, Canada

    I. W. Fong

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(2009). Current Concepts of Orthopedic Implants and Prosthetic Joint Infections. In: Fong, I.W. (eds) Emerging Issues and Controversies in Infectious Disease. Emerging Infectious Diseases of the 21st Century. Springer, New York, NY. https://doi.org/10.1007/978-0-387-84841-9_12

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