Total Knee Arthroplasty Following a Sepsis History

  • Fred D. Cushner
  • Nicholas B. Frisch
  • Brian Darrith
  • Craig J. Della ValleEmail author
  • Casey R. Antholz
  • Keith R. ReinhardtEmail author


The importance of a complete history and physical examination is stressed at the time of medical school. And if that history includes a previous history of joint sepsis, the performance of a “routine” TKA is now more complicated. The obvious question remains, has the infection been eradicated? While on the surface, it may appear easy to rule out an active infection, but certainly the other issue is a bit more difficult. Is there residual or dormant infection that could become clinically significant once soft tissue releases and bone cuts are performed?


Knee sepsis Preoperative radiographs Medial parapatellar approach Patellar preparation Two-stage revision arthroplasty Postoperative radiographs 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Fred D. Cushner
    • 1
  • Nicholas B. Frisch
    • 2
  • Brian Darrith
    • 2
  • Craig J. Della Valle
    • 3
    Email author
  • Casey R. Antholz
    • 4
  • Keith R. Reinhardt
    • 4
    Email author
  1. 1.Northwell Health Orthopedic InstituteNew YorkUSA
  2. 2.Department of Orthopedic SurgeryRush University Medical CenterChicagoUSA
  3. 3.Division of Adult Reconstructive Surgery, Department of Orthopaedic SurgeryRush University Medical CenterChicagoUSA
  4. 4.Department of Orthopaedic SurgeryHofstra-Northwell School of Medicine, Northwell Health Orthopaedic Institute at Southside HospitalBayshoreUSA

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