Invasive group A streptococcus (iGAS) is the most common cause of monomicrobial necrotising fasciitis. Necrotising
Aims. Periprosthetic joint
The Department of Health and the Public Health Laboratory Service established the Nosocomial
Our aim in this study was to determine the outcome of hip arthroplasty with regard to
Aims. The aim of this study was to estimate economic outcomes associated with deep surgical site
Revision arthroplasty after
Prosthetic joint infection (PJI) remains a serious complication that is associated with high morbidity and costs. The aim of this study was to prepare a systematic review to examine patient-related and perioperative risk factors that can be modified in an attempt to reduce the rate of PJI. A search of PubMed and MEDLINE was conducted for articles published between January 1990 and February 2018 with a combination of search terms to identify studies that dealt with modifiable risk factors for reducing the rate of PJI. An evidence-based review was performed on 12 specific risk factors: glycaemic control, obesity, malnutrition, smoking, vitamin D levels, preoperative Aims
Materials and Methods
Treatment of an infected total elbow replacement
(TER) is often successful in eradicating or suppressing the
There are few reports in the literature of the diagnosis and treatment of the infected shoulder arthroplasty. Most deal with resection arthroplasty and two-stage exchange surgery. We present our results of one-stage exchange operation as treatment for the infected shoulder arthroplasty. Our group comprised 16 patients (ten men, six women) with 16 infected arthroplasties. By the time of follow-up, two patients had died (mean 5.8 years), two could not be located and three had already undergone revision surgery. Nine patients were thus available for clinical examination and assessment. The
We undertook a study to determine the rates of
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
The aim of our study was to determine the current incidence and outcome of infected total knee arthroplasty (TKA) in our unit comparing them with our earlier audit in 1986, which had revealed
Most animal studies indicate that early irrigation
and debridement reduce
The Control of
We have analysed the management and clinical outcome of a series of consecutive patients who had a total hip replacement and developed post-operative surgical site
Objectives. To review the current best surgical practice and detail a multi-disciplinary
approach that could further reduce joint replacement