Joint Replacement Infections: Prophylaxis, Diagnosis and Treatment
The widespread use of total joint replacements has brought the problem of ensuing sepsis to the fore. In contrast to the highly successful outcome of such surgery without complications, the development of deep infection almost always leads to pain and septic loosening, generally requiring extensive surgery. Removal causes large skeletal defects, extremity shortening, and marked disability (Fig. 1a, 1b).
KeywordsRadioactive Isotope Sponge Microbe Gentamicin Hydroxyapatite
Unable to display preview. Download preview PDF.
- 2.Blomgren, G.,and Lindgren, V.: In, Elson, R.A. (Ed.): Revision Arthroplasty 2. Proc. Symposium held in Harrogate, England, March 2–4, 1983. Franklin Scientific Publications, 1983, pp 46–49.Google Scholar
- 3.Bourne, R.B., Hunter, G.A., Rorabeck, C.H., and Macnab, J.J.: A six year follow-up of infected total hip replacements managed by Girdlestone’s arthroplasty. J. Bone Joint Surg. 66B, 340, 1984.Google Scholar
- 4.Burke, J.: The effective period of preventative antibiotic action in experimental incisions and dermal lesions. Surgery 161, July 1961.Google Scholar
- 5.Charnley, J.: Low-friction Arthroplasty of the Hip: Theory and Practice. Springer-Verlag, 1979.Google Scholar
- 11.Merkel, K.D., Fitzgerald, R.H., Jr., and Brown, M.L.: Scintiographic examination of total hip arthroplasty: Comparison of indium with gallium-technetium in the loose and infected canine arthroplasty. The Frank Stinchfield Award Paper. The Hip Society, Twelfth Open Scientific Meeting, Feb. 8, 1984, Atlanta, Georgia.Google Scholar
- 12.O’Neil, D.A., and Harris, W.H.: Failed total hip replacement: Assessment by plain radiographs, arthrogram, and aspiration of the hip joint. J. Bone Joint Surg. 66A, 540, 1984.Google Scholar
- 14.Petty, W.: Quantitative determination of the effect of antimicrobial irrigating solutions on bacterial contamination of experimental wound. Trans. Twenty-Fifth Annual Meeting, Orthopaedic Research Society 4, 9, 1979.Google Scholar
- 17.Rushton, N., Coakley, A.J., Tudor, J. and Wraight, E.P.: The value of technetium and gallium scanning in assessing pain after total hip replacement. J. Bone Joint Surg. 64B, 313, 1983.Google Scholar
- 25.Wilson, P.D., Jr., Amstutz, H.C., Czerniecki, A., Salvati, E.A., and Mendes, D.G.: Total hip replacement with fixation by acrylic cement: A preliminary study of 100 consecutive McKee-Farrar prosthetic replacements. J. Bone Joint Surg. 54A, 207, 1972.Google Scholar