Aims. Delayed postoperative inoculation of orthopaedic implants with persistent wound drainage or bacterial seeding of a haematoma can result in periprosthetic joint
Aims. Periprosthetic joint
Acute bone and joint
Aims. The aim of this study was to perform the first population-based description of the epidemiological and health economic burden of fracture-related
Aims. A revision for periprosthetic joint
Aims. Periprosthetic joint
Aims. The aim of this study was to examine whether socioeconomic status (SES) is associated with a higher risk of
Aims. Orthopaedic
Antibiotic resistance represents a threat to human health. It has been suggested that by 2050, antibiotic-resistant
Aims. Open discectomy (OD) is the standard operation for lumbar disc herniation (LDH). Percutaneous endoscopic lumbar discectomy (PELD), however, has shown similar outcomes to OD and there is increasing interest in this procedure. However despite improved surgical techniques and instrumentation, reoperation and
Aims. The aim of this study was to estimate the 90-day periprosthetic joint
Aims. The diagnosis of periprosthetic joint
The rate of surgical site
Aims. To evaluate the impact of negative pressure wound therapy (NPWT) on the odds of having deep
Aims. Deep surgical site
Aims. Antibiotic prophylaxis involving timely administration of appropriately dosed antibiotic is considered effective to reduce the risk of surgical site
Aims. Graft
Aims. A systematic literature review focusing on how long before surgery concurrent viral or bacterial
Aims. To evaluate the histopathological examination of peri-implant tissue samples as a technique in the diagnosis of postoperative spinal implant
Aims. Removal of infected components and culture-directed antibiotics are important for the successful treatment of chronic periprosthetic joint
Aims. This study aimed to investigate the role of quantitative histological
analysis in the diagnosis of fracture-related
Objectives. Periprosthetic joint
Aims. The purpose of this study was to validate our hypothesis that centrifugation may eliminate false-positive leucocyte esterase (LE) strip test results caused by autoimmune diseases in the diagnosis of knee
Objectives. A successful outcome following treatment of nonunion requires the correct identification of all of the underlying cause(s) and addressing them appropriately. The aim of this study was to assess the distribution and frequency of causative factors in a consecutive cohort of nonunion patients in order to optimise the management strategy for individual patients presenting with nonunion. Methods. Causes of the nonunion were divided into four categories: mechanical;
Objectives. The diagnosis of surgical site
Aims. To assess the diagnostic value of C-reactive protein (CRP), leucocyte count (LC), and erythrocyte sedimentation rate (ESR) in late fracture-related
Aims. To determine whether there is any difference in
In England and Wales more than 175 000 hip and
knee arthroplasties were performed in 2012. There continues to be a
steady increase in the demand for joint arthroplasty because of
population demographics and improving survivorship. Inevitably though
the absolute number of periprosthetic
Aims. The aim of this study was to identify risk factors for prosthetic
joint
Aims. Lifestyle risk factors are thought to increase the risk of infection
after acute orthopaedic surgery but the evidence is scarce. We aimed
to investigate whether smoking, obesity and alcohol overuse are
risk factors for the development of
Aims. To investigate the outcomes of treatment of streptococcal periprosthetic
joint
Louis Pasteur once said that: “Fortune favours
the prepared mind.” As one of the great scientists who contributed
to the fight against
The treatment of peri-prosthetic joint infection
(PJI) of the ankle is not standardised. It is not clear whether
an algorithm developed for hip and knee PJI can be used in the management
of PJI of the ankle. We evaluated the outcome, at two or more years
post-operatively, in 34 patients with PJI of the ankle, identified
from a cohort of 511 patients who had undergone total ankle replacement.
Their median age was 62.1 years (53.3 to 68.2), and 20 patients
were women.
Aims.
Treatment of an infected total elbow replacement
(TER) is often successful in eradicating or suppressing the
Objectives.
Aims. We describe the use of a protocol of irrigation and debridement
(I&
D) with retention of the implant for the treatment of periprosthetic
infection of a total elbow arthroplasty (TEA). This may be an attractive
alternative to staged re-implantation. . Patients and Methods. Between 1990 and 2010, 23 consecutive patients were treated in
this way. Three were lost to follow-up leaving 20 patients (21 TEAs)
in the study. There were six men and 14 women. Their mean age was
58 years (23 to 76). The protocol involved: component unlinking,
irrigation and debridement (I&
D), and the introduction of antibiotic
laden cement beads; organism-specific intravenous antibiotics; repeat
I&
D and re-linkage of the implant if appropriate; long-term
oral antibiotic therapy. . Results. The mean follow-up was 7.1 years (2 to 16). The infecting micro-organisms
were Staphylococcus aureus in nine, coagulase-negative Staphylococcus in
13, Corynebacterium in three and other in six cases.
Re-operations included three repeat staged I&
Ds, two repeat
superficial I&
Ds and one fasciocutaneous forearm flap. One patient
required removal of the implant due to persistent
Aims. The importance of accurate identification and reporting of surgical
site
Most animal studies indicate that early irrigation
and debridement reduce
Periprosthetic joint
Blast and ballistic weapons used on the battlefield cause devastating injuries rarely seen outside armed conflict. These extremely high-energy injuries predominantly affect the limbs and are usually heavily contaminated with soil, foliage, clothing and even tissue from other casualties. Once life-threatening haemorrhage has been addressed, the military surgeon’s priority is to control
Peri-prosthetic
We undertook a retrospective case-control study
to assess the clinical variables associated with
Aims. The aim of this investigation was to compare risk of
Aim. The time to onset of symptoms after fracture fixation is still commonly used to classify fracture-related
Aims. With the ageing population, fragility fractures have become one of the most common conditions. The objective of this study was to investigate whether microbiological outcomes and fracture-healing in osteoporotic bone is worse than normal bone with fracture-related
Aims. Deep surgical site
Aims. Fracture-Related
Aims. To explore the clinical efficacy of using two different types of articulating spacers in two-stage revision for chronic knee periprosthetic joint
We have designed a prospective study to evaluate
the usefulness of prolonged incubation of cultures from sonicated
orthopaedic implants. During the study period 124 implants from
113 patients were processed (22 osteosynthetic implants, 46 hip
prostheses, 54 knee prostheses, and two shoulder prostheses). Of
these, 70 patients had clinical
Aims. This study aimed to evaluate the BioFire Joint
Aims. The principle strategies of fracture-related
Aim. The aim of this investigation was to compare risk of
Aim. The current antibiotic treatment of periprosthetic joint
Aim. Accurate diagnosis is key in correctly managing prosthetic joint infection (PJI). Our aim is to compare the preoperative performance of three PJI definitions comparing it to definitive postoperative classification. Method. This is a multicenter retrospective study of patients who have undergone total hip or knee revision surgery in four different European institutions. For this specific study, cases with no preoperative synovial fluid differential leukocyte count and less than four intraoperative microbiology samples were excluded. Cases were classified using the 2021 EBJIS, the 2018 International Consensus Meeting (ICM) and the 2013 Musculoskeletal
Aim. There have been many attempts to define the criteria by which prosthetic joint infection (PJI) is diagnosed. Our aim is to validate the 2021 European Bone and Joint
Aims. Fracture-related
Aims. We aimed to report the mid- to long-term rates of septic and aseptic failure after two-stage revision surgery for periprosthetic joint
Aims. Despite numerous studies focusing on periprosthetic joint
Aims. This study evaluated the definitions developed by the European Bone and Joint
Aim. Synovial fluid investigation is the best alternative to diagnose prosthetic joint infection (PJI) before adequate microbiological/histology sampling during revision surgery. Although accurate preoperative diagnosis is certainly recommended, puncturing every patient before revision arthroplasty raises concerns about safety and feasibility issues especially in difficult to access joint (e.g., hip), that often require OR time and fluoroscopy/ultrasound guidance. Currently there is no clear guidelines regarding optimal indications to perform preoperative joint aspiration to diagnose PJI before revision surgery. The main goal of this study is to determine the accuracy of our institutional criteria using the new European Bone and Joint
Aims. Musculoskeletal
Aims. There is a paucity of long-term studies analyzing risk factors for failure after single-stage revision for periprosthetic joint
Aims. Biofilm-related
Aims. The number of revision arthroplasties being performed in the elderly is expected to rise, including revision for
Purpose. Fracture-related
Aims. Periprosthetic hip-joint
Aim. One of the most severe complications of primary total knee arthroplasty (TKA) is periprosthetic joint
Aims. Despite numerous studies on periprosthetic joint
Aim. In recent years, many studies on revision for
To determine risk factors of
Aim. Diagnosing periprosthetic joint
Aim. Treatment algorithms for fracture-related nonunion depend on the presence or absence of bacterial
Background. Increasing evidence suggests a link between the bearing surface used in total hip arthroplasty (THA) and the occurrence of
Aims. To investigate the efficacy of ethylenediaminetetraacetic acid-normal saline (EDTA-NS) in dispersing biofilms and reducing bacterial
Introduction. Accurate diagnosis of peri-prosthetic joint
The incidence of PJI in knee replacements is 2.8% and slightly lower with hip replacement surgery. PJI make up 15% (or even more) of knee revisions. To combat PJI, antibiotic laden bone cement has been used for many decades, but antibiotic stewardship dictates more prudent management of antimicrobials. Projected increase in
Aim. Previous publications have suggested that the incidence of revisions due to
Aim. Debridement, Antibiotics, Irrigation, and implant Retention (DAIR) is a surgical treatment protocol suitable for some patients with fracture related
Aims. Histology is widely used for diagnosis of persistent
Introduction. The management of fracture-related
There is no consensus on how to evaluate and grade pin site
Open tibial fractures can be difficult to manage, with a range of factors that could affect treatment and outcome. We present a large cohort of patients, and analyse which factors have significant associations with
Aims. Gram-negative
Aims. The aims of this study were to determine the incidence and factors for developing periprosthetic joint
Aims. A higher failure rate has been reported in haematogenous periprosthetic joint
While pre-soaking grafts in vancomycin has demonstrated to be effective in observational studies for anterior cruciate ligament reconstruction (ACLR)
Aims. Bacteriophages infect, replicate inside bacteria, and are released from the host through lysis. Here, we evaluate the effects of repetitive doses of the Staphylococcus aureus phage 191219 and gentamicin against haematogenous and early-stage biofilm implant-related
Abstract. Aim. To identify the difference in
Aims. The diagnosis of periprosthetic joint
Aims. The purpose of this study was to compare the clinical outcomes, mortalities, implant survival rates, and complications of total knee arthroplasty (TKA) in patients with or without hepatitis B virus (HBV)
Periprosthetic joint
Aim. The number of operatively treated clavicle fractures has increased over the past decades. Consequently, this has led to an increase in secondary procedures required to treat complications such as fracture-related
Aim. Serum parameters continue to be a focus of research in diagnosing periprosthetic joint
The documentation of deep
Aims. The aim of this study was to determine the consensus best practice approach for the investigation and management of children (aged 0 to 15 years) in the UK with musculoskeletal
Aim. Failed consolidation (nonunion) after foot and ankle arthrodesis is a major complication, which can lead to additional revision arthrodesis with increased risk of morbidity. Multiple factors can contribute to developing a nonunion, including a low-grade
Aim. Acute post-surgical
Aims. Current diagnostic tools are not always able to effectively identify periprosthetic joint