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Infected Total Joint Arthroplasty : The Algorithmic Approach

https://libcat.nshealth.ca/en/permalink/provcat30883
Rihard Trebše, editor. --London: Springer , c2012.
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There are a variety of protocols that are used in infected total joint arthroplasty. This book will outline and detail the best possible course of treatment and formulate custom algorithms for every possible case, based on current evidence. reviews of current concepts and "recipes" for the diagnostic and therapeutic procedures (surgical and antibiotic) based on the type of implant, infection and the patient. The book will be an essential resource on infected total joint arthroplasty, containin…
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Other Authors
Trebše, Rihard
Responsibility
Rihard Trebše, editor
Place of Publication
London
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (ix, 320 p. : 78 ill., 52 ill. in color)
ISBN
9781447124825
Subjects (MeSH)
Algorithms
Clinical Protocols
Arthroplasty, Replacement - adverse effects
Prosthesis-Related Infections - therapy
Subjects (LCSH)
Orthopedics
Orthopedic surgery
Pathology
Infectious diseases
Abstract
There are a variety of protocols that are used in infected total joint arthroplasty. This book will outline and detail the best possible course of treatment and formulate custom algorithms for every possible case, based on current evidence. reviews of current concepts and "recipes" for the diagnostic and therapeutic procedures (surgical and antibiotic) based on the type of implant, infection and the patient. The book will be an essential resource on infected total joint arthroplasty, containing a series of logical and highly detailed instructions that will serve to educate orthopedic surgeons operating in this field on the best approaches, according to detailed and careful research conducted over the last decade.
Contents
Introduction -- Joint replacement: historical overview -- Biomaterials in artificial joint replacements -- The definition of prosthetic joint infections (PJI) -- Classifications of prosthetic joint infections -- The epidemiology of total joint arthroplasty infections -- Septic complications in arthroplasty -- Perioperative antibiotic prophylaxis in total joint arthroplasty -- Risk factors for prosthetic joint infections -- Pathogenesis of prosthetic joint infections -- Bacteria-biomaterial interactions -- Biomaterial-host interactions in aseptic and septic conditions -- Influence of wear particles on local and systemic immune system -- Diagnostic evaluations -- Sinovial fluid cytology -- Histological analysis of periprosthetic tissue for detecting prosthetic joint infection -- Microbiological diagnosis of prosthetic joint infection -- Microbiological processing of samples in the investigation of suspected prosthetic joint infections -- Molecular diagnosis of prosthetic joint infection -- Current treatment strategies in prosthetic joint infections -- Total ankle replacement infections -- Periprosthetic Infection Issues With Osseointegrated (OI) Implant Technology in Amputees -- The algorithm for diagnostic evaluation and treatment -- Bone grafts and bone graft substitutes in infected arthroplasty.
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e-Book
Location
Online
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The Infected Total Knee Arthroplasty : Prevention, Diagnosis, and Treatment

https://libcat.nshealth.ca/en/permalink/provcat42848
E. Carlos Rodríguez-Merchán, Sam Oussedik, editors. --Cham: Springer , c2018.
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This book is structured in a way that guides the reader from prevention through to diagnosis and then treatment of infection following total knee arthroplasty, in each case providing state of the art information on available techniques and procedures. The section on the crucial preventive measures include guidance on preoperative optimization and skin preparation, antibiotic prophylaxis, and preoperative microbiological screening. All relevant aspects of diagnosis of infection are considered in…
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Other Authors
Rodríguez-Merchán, E. Carlos
Oussedik, Sam
Responsibility
E. Carlos Rodríguez-Merchán, Sam Oussedik, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (viii, 191 p.) : 45 illus., 38 illus. in color
ISBN
9783319667300
9783319667294 (print ed.)
9783319667317 (print ed.)
9783319883076 (print ed.)
Subjects (MeSH)
Arthroplasty, Replacement, Knee - adverse effects
Postoperative Complications
Prosthesis-Related Infections - diagnosis
Prosthesis-Related Infections - therapy
Reoperation
Specialty
Orthopedic Procedures
Abstract
This book is structured in a way that guides the reader from prevention through to diagnosis and then treatment of infection following total knee arthroplasty, in each case providing state of the art information on available techniques and procedures. The section on the crucial preventive measures include guidance on preoperative optimization and skin preparation, antibiotic prophylaxis, and preoperative microbiological screening. All relevant aspects of diagnosis of infection are considered in detail, and the treatment-related section includes chapters on antibiotic suppression, arthroscopic lavage, open debridement with polyethylene exchange, one- and two-stage revision arthroplasty, and knee arthrodesis as a salvage procedure. Readers will also find clear instruction on how to proceed when all attempts to eradicate infection fail. In reflecting the latest knowledge and practice in this rapidly advancing field, the book will be an asset to all who are involved in the care of these patients.
Contents
Epidemiology of the infected total knee arthroplasty: incidence, causes and the burden of disease -- Microbiological concepts of the infected total knee arthroplasty -- Preoperative optimization to prevent an infected total knee arthroplasty: Host factors -- Depilation and skin preparation to prevent an infected total knee arthroplasty -- Antibiotic prophylaxis to prevent infection in total knee arthroplasty -- Preoperative screening and eradication of infection -- Clinical diagnosis of the infected total knee arthroplasty -- Diagnosis by imaging of the infected total knee arthroplasty -- Serological markers of infection in the infected total knee arthroplasty -- The role of knee aspiration in the infected total knee arthroplasty -- Polymerase chain reaction (PCR) in the infected total knee arthroplasty -- Histological diagnosis in the infected total knee arthroplasty -- Intra-operative Cultures for the Suspected Total Knee Arthroplasty Infection -- Sonication of removed implants in the infected total knee arthroplasty -- Antibiotic suppression in the infected total knee arthroplasty -- Arthroscopic debridement of infected total knee arthroplasty -- Open debridement and polyethylene exchange (ODPE) in the infected total knee arthroplasty -- One-stage revision arthroplasty in the infected total knee arthroplasty -- Two-stage revision of infected total knee arthroplasty -- Knee arthrodesis in the infected total knee arthroplasty -- Above knee amputation in the treatment of failed septic total knee arthroplasty.
Format
e-Book
Location
Online
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Management of Periprosthetic Joint Infection : a global perspective on diagnosis, treatment options, prevention strategies and their economic impact

https://libcat.nshealth.ca/en/permalink/provcat43402
Klaus-Dieter Kühn (ed.). --Berlin, Heidelberg: Springer , c2018.
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Periprosthetic joint infection (PJI) is among the most serious complications in the field of endoprosthetics. The number of PJIs is increasing worldwide and poses a real interdisciplinary challenge for everyone involved. For the patient concerned, it is necessary to promptly work out an adequate therapy solution to fight off the infection. Both the clinical experience of the surgeon and the proper diagnostic processes are prerequisite for the reliable detection and identification of an infectio…
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Other Authors
Kühn, Klaus-Dieter
Responsibility
Klaus-Dieter Kühn (ed.)
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xviii, 366 p.) : 196 illus. in color
ISBN
9783662544693
9783662544686 (print ed.)
9783662544709 (print ed.)
Subjects (MeSH)
Joint Prosthesis - adverse effects
Prosthesis-Related Infections - prevention & control
Prosthesis-Related Infections - therapy
Specialty
Infectious Disease Medicine
Orthopedic Procedures
Abstract
Periprosthetic joint infection (PJI) is among the most serious complications in the field of endoprosthetics. The number of PJIs is increasing worldwide and poses a real interdisciplinary challenge for everyone involved. For the patient concerned, it is necessary to promptly work out an adequate therapy solution to fight off the infection. Both the clinical experience of the surgeon and the proper diagnostic processes are prerequisite for the reliable detection and identification of an infection. The microbiologist is responsible for identifying the causative germs by screening the patient's synovial fluid and tissue samples. Based on the findings and subsequent resistance testing, the infectious disease specialist can recommend the appropriate antibiotic therapy. Furthermore, the clinical pharmacist is consulted regularly throughout the therapy to discuss the risk of potential drug interactions. The surgeon will proceed with the revision surgery, following defined algorithms. Adequate radical debridement of infected and necrotic surrounding tissue is the most important step towards a successful cure of the infection. Accompanying the surgery, anti-infective agents are given systemically and locally. While systemic application of anti-infectives mainly reduces the number of haematogenic-spreading planktonic germs, local application immediately forms a colonization barrier and protects the implant from sessile biofilm formation. Concurrently, antibiotics are actively released from the implant, resulting in local germ reduction. Thus, local agents are embedded in the concept of surgical PJI treatment as a reliable adjuvant measure and they sustainably support the successful outcome. In one-stage procedures, local agents are released from specialized antibiotic-loaded bone cements, while in two- or multi-stage procedures, local agents are released from corresponding temporary spacers (interim prostheses). Even from an economic standpoint, the combination of systemic and local agent application is meaningful. Furthermore, there are some interesting trends towards the coating of metallic implants to protect against biofilm formation on the implant surface. On the basis of their personal experience, specialists from all over the world present, explain and discuss preventive approaches, appropriate diagnostic strategies for detection, reproducible effective surgical treatments as well as the economic impact of PJI. The reader can use this book as a solid platform for comparing their own approach to PJI treatment with the specialists' recommendations.áá.
Contents
1. Introduction -- 2. Economic Aspects -- 3. Clinical Aspects -- 4. Diagnosis -- 5. Prevention -- 6. Treatment -- 7. Antibiotic-Loaded Bone Cement -- 8. Spacers -- 9. Coating.
Format
e-Book
Location
Online
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Prosthetic Joint Infections

https://libcat.nshealth.ca/en/permalink/provcat42887
edited by Trisha Peel. --Cham, Switzerland: Springer , c2018.
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This book outlines the most updated clinical guidelines that are vital for the prevention infections and care of patients with joint infections following a replacement surgery, one of the highest volume medical interventions globally. Sections address the diagnosis, management approaches and prevention of prosthetic joint infections. Written by experts in the field, this text provides a brief overview of the literature and current recommendations in each of the specified areas. Given the rapidl…
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Other Authors
Peel, Trisha
Responsibility
edited by Trisha Peel
Place of Publication
Cham, Switzerland
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xii, 263 p.) : 14 illus., 8 illus. in color
ISBN
9783319652504
9783319652498 (print ed.)
9783319652511 (print ed.)
Subjects (MeSH)
Joint Prosthesis - adverse effects
Prosthesis-Related Infections - diagnosis
Prosthesis-Related Infections - therapy
Specialty
Infectious Disease Medicine
Orthopedics
Abstract
This book outlines the most updated clinical guidelines that are vital for the prevention infections and care of patients with joint infections following a replacement surgery, one of the highest volume medical interventions globally. Sections address the diagnosis, management approaches and prevention of prosthetic joint infections. Written by experts in the field, this text provides a brief overview of the literature and current recommendations in each of the specified areas. Given the rapidly evolving state-of-play in this clinical area, this compendium grows increasingly important to clinicians in their management decisions. Prosthetic Joint Infectionsáis a valuable resource for infectious disease specialists, epidemiologists, surgeons, and orthopedic specialists who may work with patients with prosthetic joint infections.
Contents
Introduction to Prosthetic Joint Infection -- Epidemiology of Prosthetic Joint Infection -- Prosthetic Joint Infection: Diagnosis Update -- Management of Periprosthetic Joint Infection -- Prosthetic Joint Infection: Prevention Update -- Prosthetic Joint Infection: Guidelines and Recommendations Update.
Format
e-Book
Location
Online
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