The difference between native septic arthritis and prosthetic joint infections: A review of literature.

Current literature occasionally considers septic arthritis in native joints and prosthetic joint infections as equal pathologies. However, significant differences can be identified. The aim of this review of literature is to describe these differences in definitions, pathology, diagnostic workups, treatment strategies, and prognosis.

Patient-specific instrumentation does not improve radiographic alignment or clinical outcomes after total knee arthroplasty.

Background and purpose - Patient-specific instrumentation (PSI) for total knee arthroplasty (TKA) has been introduced to improve alignment and reduce outliers, increase efficiency, and reduce operation time. In order to improve our understanding of the outcomes of patient-specific instrumentation, we conducted a meta-analysis. Patients and methods - We identified randomized and quasi-randomized controlled trials (RCTs) comparing patient-specific and conventional instrumentation in TKA.

Prosthetic alignment after total knee replacement is not associated with dissatisfaction or change in Oxford Knee Score: A multivariable regression analysis.

Background: Approximately 18% of the patients are dissatisfied with the result of total knee replacement. However, the relation between dissatisfaction and prosthetic alignment has not been investigated before.

Methods: We retrospectively analysed prospectively gathered data of all patients who had a primary TKR, preoperative and one-year postoperative Oxford Knee Scores (OKS) and postoperative computed tomography (CT).

Access blood flow and the risk of complications in mature forearm and upper arm arteriovenous fistulas.

Background/aims: Optimization of vascular access use in the 'fistula first' era requires comprehension of its clinical behavior. Little is known about mature arteriovenous fistula (AVF) performance and the role of fistula location. Widely used access flow (Qa) was used to analyze complication risks and functionality after first hemodialysis use.

Hospital specific aspects predominantly determine primary failure of hemodialysis arteriovenous fistulas.

Background: Primary failure of the arteriovenous fistula (AVF) is a major problem affecting native hemodialysis access use. A multicenter guideline implementation program, Care Improvement by Multidisciplinary approach for Increase of Native vascular access Obtainment (CIMINO), was designed to identify modifiable and nonmodifiable factors involved in the early functionality of the AVF.

Methods: Physicians and dialysis staff in 11 centers in the Netherlands (N = 1092 prevalent vascular accesses) were strongly and repeatedly advised to adhere to current guidelines.

Accelerated increase of arteriovenous fistula use in haemodialysis centres: results of the multicentre CIMINO initiative.

Background: In the Netherlands, arteriovenous fistulas (AVFs) are used in 60-65% of the haemodialysis patients and this compares poorly with the European average. A multicentre guidelines implementation programme, CIMINO, was initiated aiming at increasing the use of AVFs.

Methods: Physicians and dialysis staff in 11 participating centres (N=1092 vascular accesses) were strongly and repeatedly advised to adhere to current guidelines with extra attention for pre-operative duplex examination and salvaging of failing and failed fistulae.