
The Infected Implant
By: Heino Kienapfel, ?KlausDieter Kühn
eText | 21 November 2009 | Edition Number 1
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Musculosketal infections are potentially devastating for the patient, his family and the health care services, as they may lead to functional impairment, long lasting disability, or even permanent handicap. This problem may also have socioeconomic implications. Infection commonly results in prolonged use of antibiotics, multiple operations, complications, extended rehabilitation and long lasting followup visits with additional costs for the health care provider. This book covers contributions from international experts who came together in Potsdam, Germany, at the invitation of Professor Heino Kienapfel, MD PhD, of the Department of Special Orthopaedic Surgery and Traumatology of the Centre of Joint Arthroplasty, Auguste Viktoria Clinics Berlin. The focus of this book is the state of the art of: -Antimicrobial Resistances: Facts and Statistics - Arthroplasty Registers in EU: Status and Development - Microbiology in Arthroplasty - Strategies in Antibiotic Treatment - Spacer Management: Clinical Experiences and Requirements - Biofilm Creation: Low Grade Infection - Revision: Cemented vs. Cementless - Revision: One-stage vs. Two-stage treatment
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Cover -- Table of Contents -- 1 The Importance of European Registers in Respect to Infections in Arthroplasty -- 2 Increasing Incidence of Infected THA in Norway Despite Improved Antibiotic Prophylaxis -- Introduction -- Methods -- Results -- Discussion -- Conclusions -- References -- 3 Update from the Swedish Arthroplasty Registers with Special Reference to Infections -- Introduction -- Material -- Results -- Discussion -- Conclusion -- References -- 4 Status and Prospect of an European Arthroplasty Register (EAR) -- Introduction -- Possible Prospects for EAR and International Approaches to Arthroplasty Registers -- Conclusion -- References -- 5 The Infected Implant Microbiology and Clinical Strategies -- Pathophysiology of Joint Infections -- Management of Prosthetic Joint Infection -- 6 Infection of Joint Prosthesis and Local Drug Delivery -- Introduction -- Prevalence, Nature and Consequences of Periprosthetic Infection -- Diagnosis and Therapy of Periprosthetic Infection -- Local Antibiotic Delivery Systems -- Prophylactic Measures Against Colonization and Development of Biofilm -- References -- 7 Clinical Strategy for the Treatment of Deep Infection of Hip Arthroplasty -- Single Antibiotic Therapy (Chronic Suppressive Therapy) -- Debridement and Rinse Lavage -- One-Stage Exchange -- Two-Stage Exchange -- Resection Arthroplasty -- Conclusions -- References -- 8 Infection after Total Knee Artroplasty: Diagnosis, Management Strategies and Outcomes -- Introduction -- Materials and Methods -- Results/Clinical Studies -- Discussion -- Conclusion -- References -- 9 Spacer Management in Periprosthetic Infections -- Introduction -- Non-Articulating Spacers -- Articulating Spacers -- Concerns -- Advantages of Mobile Spacers -- Conclusion -- References -- 10 Observational Study of Bone Cement with Two Antibiotics in Revision Arthroplasty of Knee and Hip -- Introduction -- Methods -- Results -- Discussion -- Literature -- 11 Treatment of an Infected Joint Prosthesis: Difficult Challenge for an Orthopedist Surgeon -- 12 Low-Grade Infection and Multiresistant Gram-Positive Cocci -- Introduction -- Diagnosis of Low-Grade Infections -- Isolated Microorganisms -- Emergence of Resistance -- Biofilm -- Treatment of Low-Grade Infections -- References -- 13 Antibiotic Strategies in Septic Arthroplasties -- Introduction -- Biomaterials Reduce Immune System Efficiency -- Biofilm -- Intracellular Bacteria -- Future -- References -- 14 Introduction: Revision Cemented Versus Uncemented -- 15 Cemented revision THA -- Introduction -- Material and Methods -- Discussion -- Conclusion -- References -- 16 Pro Uncemented Revision -- Introduction -- Material and Methods -- Results -- Discussion -- Conclusion -- References -- 17 The Infected Implant: Revision One Stage Versus Two Stage Introduction To Crossfire Session -- Septic Hip Prosthesis One-Stage Revision -- Septic Hip Prosthesis Two-Stage Revision: Reasons of a Choice -- Conclusions -- References -- 18 One Stage Revision Favourite Option? -- Introduction -- Method of One-Staged Revision -- Technique of One-Staged Revision Including Pre-Operative Precautions and Postoper.
ISBN: 9783540928362
ISBN-10: 3540928367
Published: 21st November 2009
Format: PDF
Language: English
Publisher: Springer Nature
Edition Number: 1























