Prosthetic joint infection: Recent developments in diagnosis and management

Operating Room Traffic is a Major Concern During Total Joint Arthroplasty

“…Periprosthetic joint infection (PJI) has been regarded as one of the most challenging complications associated with total joint arthroplasty (TJA) [1,2,7,10,15]. The etiology of PJI is multifaceted; therefore, multiple strategies must be implemented to minimize the risk of PJI.…”

“…The etiology of PJI is multifaceted; therefore, multiple strategies must be implemented to minimize the risk of PJI. The consequences of prosthetic infection have been grave, often resulting in additional morbidity [1,2,7]. Reducing the risk of PJI during TJA has been a major challenge that deserves continued exploration.…”

Early prosthetic hip joint infection treated with debridement, prosthesis retention and biofilm‐active antibiotics: functional outcomes, quality of life and complications

“…2 There is growing evidence demonstrating successful treatment of early PJI with surgical debridement, retention of prosthesis and the use of biofilm-active antibiotics, such as rifampicin for staphylococcal infections and fluoroquinolones for gramnegative infections. 3 This approach has been favoured more recently as it involves less extensive surgery than prosthesis exchange and so ostensibly results in better function, quality of life (QOL) and less morbidity; however, few studies have formally assessed these outcomes. Our aim was therefore to describe rates of successful infection treatment for patients undergoing treatment for PJI with surgical debridement, prosthesis retention and biofilm-active antibiotics and compare their functional outcomes, QOL and complication rates to patients without PJI.…”

Patient and Personnel Radiation Exposure in Sentinel Lymph Node Practice

“…Protez enfeksiyonları, ilk cerrahi sonrası %1,5-2,5, revizyon cerrahilerinden sonra ise %20 insidans ile gözlenirler. Mortalite oranları %1-3 civarında olup enfeksiyonun tedavisi maliyeti arttıran nedenlerden biridir (1,4). Ağrıya yönelik tedavi etiyolojiye göre değişecektir.…”

“…Aseptik gevşeme tedavisinde tek bir seferde yapılan revizyon artroplastisi ile sorun çözülebilirken, enfeksiyon varlığı birden fazla cerrahi girişimi ve antimikrobiyal tedaviyi içerecek şekilde daha komplikedir (1,5). Protez enfeksiyonları cerrahi sonrası geçen süreye göre erken (3 ay), geç (3 ay -2 yıl) veya daha gecikmiş (>2 yıl) olarak sınıflandırılır (4). Hastada ileri yaş, nütrisyonel bozukluk, altta yatan eklem hastalığı, diabetes mellitus, immün süpresyon gibi durumlar enfeksiyona yatkınlığı arttırır (1).…”