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School of Health Sciences, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Region, Larissa, Hellenic Republic
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Department of Traumatology and Orthopedics, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
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Trauma, Emergency Surgery and Orthopaedics, Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden
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-based literature has not given detailed comparative recommendations for the use of different kinds of PPE in the operating theatre and even the WHO has failed to address this issue in the operating theatre environment ( 18 ). For orthopaedic and trauma surgeons
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physicians, finding the evidence is an issue. Even well-published researchers often fail to appreciate the background knowledge required to conduct a good literature search on the internet. A successful search should be time-efficient, reproducible, complete
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Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland
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+/− revision fixation at a mean of 5.4 months ( 74 ). Of those that failed to heal with this approach, 75% had co-existing infection predisposing to treatment failure. Kanakaris et al. reported on a series of 30 patients with aseptic femoral non-union managed
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. Tissue Eng Part A 2014 ; 20 : 1583 - 1592 . 105 Kraus T , Imhoff F , Wexel G , et al. . Stem cells and basic fibroblast growth factor failed to improve tendon healing:an in vivo study using lentiviral gene transfer in
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. Some cases of neurapraxia may fail to recover spontaneously or may even deteriorate due to a persisting poor nerve environment. Surgery can be beneficial in such cases where repeated clinical assessment detects a persistence or deterioration of the
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Adults (> 18 years of age) with advanced, resistant CRPS which has failed to respond to conservative measures Strictly follow one of the standard diagnostic criteria of CRPS Children (i.e. < 18 years old) Less severe CRPS or conservative measures not
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Fracture-related infection (FRI) is common and often diagnosed late.
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Accurate diagnosis is the beginning of effective treatment.
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Diagnosis can be difficult, particularly when there are no outward signs of infection.
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The new FRI definition, together with clear protocols for nuclear imaging, microbiological culture and histological analysis, should allow much better study design and a clearer understanding of infected fractures.
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In recent years, there has been a new focus on defining FRI and avoiding non-specific, poorly targeted treatment. Previous studies on FRI have often failed to define infection precisely and so are of limited value. This review highlights the essential principles of making the diagnosis and how clinical signs, serum tests, imaging, microbiology, molecular biology and histology all contribute to the diagnostic pathway.
Cite this article: EFORT Open Rev 2020;5:614-619. DOI: 10.1302/2058-5241.5.190072
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orthopaedic surgeon, understanding the respective advantages and disadvantages of each imaging modality is required for optimal patient care. With regard to failed joint replacements, pre-operative assessment is critical for determining the underlying
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failed systemically during their clinical use. These failures included corrosion-induced loosening of cemented titanium stems ( 4 ), mechanical breakdown of a polymethylmethacrylat (PMMA) bone cement due to problems with the glass transition temperature
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augment, which may lead to errors. Revision from UKA to TKA Kalavrytinos et al. presented the first described case of robotic-assisted conversion of failed UKA to TKA ( 26 ). Similarly, the closed planning software was also unable to simulate the
