Aims. The aim of this study was to identify the incidence of positive
cultures during the second stage of a two-stage revision arthroplasty
and to analyse the association between positive cultures and an
infection-free outcome. Patients and Methods. This single-centre retrospective review of prospectively collected
data included patients with a periprosthetic joint
The purpose of this study was to compare the
diagnostic accuracy for the detection of
Necrotising soft-tissue
External fixation is widely used in orthopaedic
and trauma surgery. Infections around pin or wire sites, which are usually
localised, non-invasive, and are easily managed, are common. Occasionally,
more serious invasive complications such as necrotising fasciitis
(NF) and toxic shock syndrome (TSS) may occur. . We retrospectively reviewed all patients who underwent external
fixation between 1997 and 2012 in our limb lengthening and reconstruction
programme. A total of eight patients (seven female and one male)
with a mean age of 20 years (5 to 45) in which pin/wire track infections
became limb- or life-threatening were identified. Of these, four
were due to TSS and four to NF. Their management is described. A
satisfactory outcome was obtained with early diagnosis and aggressive
medical and surgical treatment. . Clinicians caring for patients who have external fixation and
in whom
We reviewed systematically the published evidence on the effectiveness of antibiotic prophylaxis for the reduction of wound
We examined the incidence of
1. A case of late
Between July 1986 and August 1996, we performed 32 total knee arthroplasties (TKA) on 32 patients with partially or completely ankylosed knees secondary to
We examined patient and surgical factors associated
with deep surgical site
Aims. The purpose of this study was to validate the diagnosis of periprosthetic
joint
We wished to estimate the incidence of surgical-site
The management and outcome of treatment in 42 patients (49 shoulders) with an infected shoulder prosthesis was reviewed in a retrospective multicentre study of 2343 prostheses. The factors which were analysed included the primary diagnosis, the delay between the diagnosis of
Sixty-eight patients suffering deep
It has been proposed that intervertebral disc degeneration might be caused by low-grade
We present a case of Mycobacterium avium-intracellulare (MAI)
The objective of this study was to determine the effectiveness of screening and successful treatment of methicillin-resistant Staphylococcus aureus (MRSA) colonisation in elective orthopaedic patients on the subsequent risk of developing a surgical site
We have carried out in 24 patients, a two-stage revision arthroplasty of the hip for
Exchange operation is recommended as the treatment of choice for most deep
1. Six cases of
To characterize the intracellular penetration of osteoblasts and osteoclasts by methicillin-resistant Time-lapse confocal microscopy was used to analyze the interaction of MRSA strain USA300 with primary murine osteoblasts and osteoclasts. The effects of early and delayed antibiotic treatments on intracellular and extracellular bacterial colony formation and cell death were quantified. We tested the effects of cefazolin, gentamicin, vancomycin, tetracycline, rifampicin, and ampicillin, as well as agents used in surgical preparation and irrigation.Aims
Methods