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Environmental Factors and Infection in Total Joint Replacement Surgery

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Perioperative Medical Management for Total Joint Arthroplasty

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Abstract

Intraoperative bacterial contamination of the surgical wound is a major source of postoperative prosthetic joint infection. In order to reduce intraoperative bacterial contamination of the wound and surgical site infections, several strategies have been developed, tested, and implemented. These strategies include those which address specific operating room variables (operating room ventilation), surgical factors (draping materials, irrigation, wound closure, etc.), patient factors, and factors controlled by the surgical team (hand cleansing, use of face masks, etc.). This chapter will discuss the different causes of bacterial contamination in the operating room, the approaches to reduce them, and their effect in diminishing the rates of infection. The collective use of the factors discussed in the chapter will result in a substantial reduction in the rate of acute postoperative infection.

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Acknowledgement

This work was partially funded by the generous donation of Mr. Glenn Bergenfield and The Sidney Milton and Leoma Simon Foundation.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, 535 East 70th Street, New York, NY, 10021, USA

    Erik Schnaser & Alejandro Gonzalez Della Valle

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  1. Erik Schnaser
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  2. Alejandro Gonzalez Della Valle
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Correspondence to Alejandro Gonzalez Della Valle .

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Editors and Affiliations

  1. Humanitas Clinical and Research Center, Milan, Italy

    Andrea Baldini

  2. San Donato Hospital, Arezzo, Italy

    Patrizio Caldora

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Schnaser, E., Della Valle, A.G. (2015). Environmental Factors and Infection in Total Joint Replacement Surgery. In: Baldini, A., Caldora, P. (eds) Perioperative Medical Management for Total Joint Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-07203-6_20

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  • DOI: https://doi.org/10.1007/978-3-319-07203-6_20

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