Postoperative complications in total knee replacement are increased in males and elder patients. Increased time of surgery and allogeneic blood transfusions also represent important risk factors for postoperative complications following primary total knee replacement.

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Hitherto a prolonged treatment and immobilization was necessary in case of bone and soft tissue infections of the hand. The result was frequently a poor function of the hand due to ankylosis. The infection period can be shortened by an early, carefully performed sequestrotomy with additional temporary implantation of gentamicin-PMMA minichains. The evaluation of 200 cases shows the good results of this therapy method.

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