New Primary Total Knee Arthroplasty Components Versus Other Contemporary Types of Spacers for the Treatment of Chronic Periprosthetic Knee Infection With a Two-Stage Protocol.

The optimal type of antibiotic spacer for the treatment of a knee periprosthetic joint infection (PJI) remains a topic of debate. Although the ultimate goal of an antibiotic spacer is infection control, contemporary spacer iterations, such as the use of a new femoral component (NFC), may offer unique advantages. The primary goal of this study was to compare rates of infection control and functional outcomes between contemporary spacer types.

Nonoperative Management of Subclavian Artery Thrombosis in Pediatric Clavicle Fractures: A Case Report.

Case: A 12-year-old patient presented after a fall onto her upper extremity. She was found to have a mildly displaced clavicle fracture with a subclavian artery thrombosis. Given the reconstitution of flow distal to the thrombosis, the patient was treated nonoperatively in consultation with vascular surgery with anticoagulation and a sling for immobilization.

Management of Periprosthetic Hip and Knee Joint Infections With a Known Sinus Tract-A Single-Center Experience.

Background: Prosthetic joint infection (PJI) is a serious complication after total joint arthroplasty (TJA). A sinus tract communicating with a prosthetic joint is a major criterion defining PJI. Despite this fact, many patients presenting with a draining sinus tract undergo invasive procedures before initiation of two-stage revision arthroplasty.

Characterization of Outcomes of 2-Stage Exchange Arthroplasty in the Treatment of Prosthetic Joint Infections.

Background: Two-stage revision is the preferred treatment for prosthetic hip and knee infections in the United States. Recent studies have questioned the true success rate of this treatment. The purpose of this study is to investigate outcomes of prosthetic hip and knee infections undergoing resection arthroplasty and spacer insertion at a single institution.

Wound Hygiene Practices After Total Knee Arthroplasty: Does It Matter?

Background: Current literature is limited with regard to standardized postoperative surgical site hygiene after total knee arthroplasty (TKA). With little guidance from the literature, the timing of permissible postoperative cleaning is a decision made by the individual surgeon using anecdotal evidence. A standardized wound care regimen is of particular interest to minimize the risk of infection.