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Joint prothesis infections

Eric Röhner, Tilman Pfitzner, Bernd Preininger, Timo Zippelius, Carsten Perka
PURPOSE: The present study describes a new temporary arthrodesis procedure, which aims for septic knee prosthesis replacement, in particular for larger bone and soft tissue defects. Our technique offers high stability and full weight-bearing capacity of the knee joint. METHODS: The study included 16 patients with major bone defects (AORI type IIb or greater) after receiving a radical debridement and a septic two-stage revision total knee arthroplasty. After removing the infected prosthesis and debridement, two AO fixator rods were positioned into the intramedullary space of the femur and tibia...
January 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Claudio Rinna, Gabriele Reale, Francesco Calvani, Piero Cascone
Ankylosis of the temporomandibular joint is a serious complication, mainly after trauma and local or systemic infection. In rare cases, ankylosis is associated with systemic disease such as ankylosing spondylitis, rheumatoid arthritis, and psoriasis. According to the functional restriction and the provoked disturbances of facial growth in the youth, an early and effective therapy is desirable. There is a wide variety of surgical approaches to temporomandibular joint ankylosis, ranging from chondro-osseous grafts to prothesis...
March 2013: Journal of Craniofacial Surgery
Gen Suzuki, Shu Saito, Takao Ishii, Sayaka Motojima, Yasuaki Tokuhashi, Junnosuke Ryu
PURPOSE: Total knee arthroplasty (TKA) has been proven to be the most effective treatment for patients with severe joint disease. Although infection is not a frequent complication, it is certainly one of the most dreaded. The purpose of this study was to identify factors associated with infection after TKA. METHODS: Between 1995 and 2006, 2,022 primary TKAs in 1,146 patients were evaluated. Flexible Nichidai Knee (FNK) was used as a prothesis in all subjects. Twenty-four patient-specific data items were collected via chart review for each patient...
December 2011: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Daniëlle Neut, René J B Dijkstra, Jonathan I Thompson, Henny C van der Mei, Henk J Busscher
Cementless prostheses are increasingly popular but require alternative prophylactic measures than the use of antibiotic-loaded bone cements. Here, we determine the 24-h growth inhibition of gentamicin-releasing coatings from grit-blasted and porous-coated titanium alloys, and compare their antibacterial efficacies and gentamicin release-profiles to those of a commercially available gentamicin-loaded bone cement. Antibacterial efficacy increased with increasing doses of gentamicin in the coating and loading with 1...
November 2011: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
M K Kwan, E S Ng, R Penafort, A Saw, S Sengupta
Bone defect following en bloc resection of primary bone tumor around the knee can be reconstructed by allograft or prothesis or combination of both. Resection-arthrodesis is an alternative option for young vigorous patients facing circumstances of financial constrain or limited supply of allograft. This study was undertaken to determine the outcome and complications associated with resection-arthrodesis of 22 primary bone tumors (13 giant cell tumors and 9 osteosarcomas) around the knee treated between 1990 and 2003 at the University Malaya Medical Center...
July 2005: Medical Journal of Malaysia
Zhi-qiang Wang, Jin-hong Lu, Mao-song Wang
OBJECTIVE: To discuss the indications and other related issues of artificial hip replacement. METHOD: A retrospective analysis was conducted in 37 cases with artificial hip replacement with complete follow-up data treated between 1996 and 2001. RESULTS: The patients were followed up for 1 to 5 years. The average Harris score of these patients was 51 preoperatively and 82 postoperatively, and 10 of them had excellent, 23 good, 2 acceptable and 2 poor outcomes...
September 2005: Di 1 Jun Yi da Xue Xue Bao, Academic Journal of the First Medical College of PLA
P Arnold, B Schüle, H Schroeder-Boersch, L Jani
The ARO multicenter study intended to show clinical and radiological differences with regard to different systems of fixation and designs of the prothesis in total hip replacement in patients with hip dysplasia, osteoarthritis and rheumatoid arthritis. In 1987 and 1988 5255 total hip prothesis were implanted by the 24 hospitals which took part in the study. 3133 prothesis (95.6%) were clinically and radiologically examined. The follow-up period averaged 6.9 years. The results of the Aro multicenter-study showed that despite difficult preoperative conditions especially in cases of rheumatoid arthritis the satisfaction rate improved remarkably...
June 1998: Der Orthopäde
E M Kraus
The clothespin partial ossicular replacement prosthesis (PORP) is designed to increase joint stability during incus replacement ossiculoplasty. Fundamental modifications have been made in the Schuring ossicle-cup, which include a forked well, increased well wall thickness and length, and a flexible tip disk added to the shaft. The forked well functions like a straight clothespin rather than an inverted cup. The forked well enables the clothespin prothesis to slide down over the stapes superstructure, between the facial nerve canal and the promontory, to form a stable, mortise-and-tenon prosthesis-stapedial joint...
July 1993: Otolaryngology—Head and Neck Surgery
P Pavlica, G Viglietta, L Fabbri
Three cases of septic osteo-arthritis were seen occuring in patients on dialysis treatment. The sites of involvement included lumbar spine, knee joint, ribs and wrist. The culture of the same microorganisms simultaneously from the arterovenous prothesis, blood and synovial fluid supports the hypothesis that the osteo-arthritis was the result of hematogenous spread of bacteria from the infected focus. Early diagnosis and treatment may prevent severe bone and joint damage.
October 1981: La Radiologia Medica
E S Bittar, W Petty
Results of a previous study of 21 patients who underwent conversion of infected total hip arthroplasties to Girdlestone resection arthroplasties suggested that Girdlestone resection arthroplasty provides a functionally poor salvage technique and is often painful. The present study was undertaken to assess further the salvage value of Girdlestone arthroplasties for the treatment of infected total hips. Fourteen additional cases were reviewed, summarizing the clinical experience of the past three years. These more recent data support the conclusion that resection arthroplasty provides a poor functional result when used as a salvage procedure following removal of infected total hip components...
October 1982: Clinical Orthopaedics and related Research
B Huke, J Breitenfelder, A Rütt
No abstract text is available yet for this article.
1973: Archiv Für Orthopädische und Unfall-Chirurgie
J Letenneur, J M Rogez, D Sanguy, J Lignon, H Perol
No abstract text is available yet for this article.
February 1978: Annales de Chirurgie
N P Demichev
On the grounds of the literature data and his own findings the author analyzes the complications occurring in total endoprothetics of the hip joint. The following complications were observed: formation of para-articular ossifications (7), wound infection (1), dislocation of the endoprothesis socket from the acetabulum (1), fracture of the femur (2), laxity of the prothesis pedicle (1), thrombophlebitis (2), postoperative bleeding (1). Various aspects of this problem are covered in the article.
February 1978: Vestnik Khirurgii Imeni I. I. Grekova
G de Mourgues
No abstract text is available yet for this article.
1975: Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteur
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