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Department of Orthopaedics and Trauma Surgery, Medical University of Vienna, Austria
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harvested, each with separate instruments ( 9 , 42 ). Specimens of bone–implant interface, periarticular membranes and synovium, are recommended. Infection is not uniformly distributed in the joint and multiple representative sites should be sampled ( 43
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histologic findings from joint tissue ( 4 ). Infection can lead to prosthesis loosening, bone defects and even life-threatening conditions in severe cases ( 5 ). With advances in surgical techniques and improvements in surgical conditions, PJI currently
King’s Global Health Partnerships, School of Life Course and Population Sciences, King’s College London, London, UK
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Department of Orthopaedics, University of the Philippines, Philippine General Hospital Manila, The Phillipines
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previously surrounded terms such as postoperative or post-traumatic osteomyelitis, surgical site infection and infection following fracture fixation. Figure 1 outlines the diagnosis of FRI with confirmatory and suggestive criteria. Alongside this are
Université Claude Bernard Lyon 1, Villeurbanne, France
Centre de Références des IOA Complexes de Lyon, CRIOAc Lyon, Lyon, France
StaPath team, Centre International de Recherche en Infectiologie, CIRI, Inserm U1111, CNRS UMR5308, ENS de Lyon, UCBL1, Lyon, France
Education and Clinical Officer of the ESCMID Study Group for Non-traditional Antibacterial Therapy (ESGNTA)
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Department of Development and Regeneration, KU Leuven, Oude Markt 13, Leuven, Belgium
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Department of Development and Regeneration, KU Leuven, Oude Markt 13, Leuven, Belgium
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, limited mobility, and a higher mortality rate compared to patients who do not develop this complication ( 3 , 6 ). Management concepts consist of a combined surgical and antibiotic treatment approach. Because these infections are biofilm
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glucose control. Treatment Revascularization, surgical and conservative wound debridement, and eradication of the infection are the principal aims of DFU treatment. The essential steps to preserve a moist, non-infected wound are to: 1
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replacement . BMC Musculoskelet Disord 2013 ; 14 : 222 . 24 Leone JM , Hanssen AD . Management of infection at the site of a total knee arthroplasty . J Bone Joint Surg [Am] 2005 ; 87-A : 2335 - 2348 . 25 Tsukayama
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of future infection. 22 , 23 Surgical debridement is considered one of the most important procedures for open lower limb fractures. 22 , 23 , 25 Traditionally, debridement has been performed within 6 hours of presentation. The rationale
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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. Clinical resolution of infection occurred after an average of 3.3 additional procedures ( 55 ). In 2000 patients treated with ORIF by henkelman et al. in 2020, the rate of surgical site infection was 4.7% (93/2000) ( 56 ). In 2022, the rate of deep
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Introduction Periprosthetic joint infection (PJI) is responsible for 25% of failed total knee arthroplasties 1 and 15% of revision total hip arthroplasties. 2 PJI has a huge economic burden on the health care system, and there will
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Department of Orthopaedic Surgery, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia
Queensland University of Technology (QUT), Brisbane, Queensland, Australia
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Department of Orthopaedics, St. Vincent’s Hospital, Fitzroy, Victoria, Australia
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Barrack RL & Nunley RM . Decreased hospital costs and surgical site infection incidence with a universal decolonization protocol in primary total joint arthroplasty . Journal of Arthroplasty 2017 32 728 – 734.e1 . ( https://doi.org/10.1016/j