Prosthetic joint infection (PJI) is a devastating complication in arthroplasty surgery. Although the prevalence is less than 2%, its functional and financial implications are significant. Part of its treatment involves the usage of prolonged and high-dose systemic antibiotics. Ironically, this predisposes the patient to unwanted adverse effects caused by the drugs. We report a case of cefazolin-induced neutropenia that led to () bacteraemia in a patient with PJI. There have been no previous reports on cefazolin-induced neutropenic bacteraemia complicating the treatment of PJI. This case report aims to create awareness among the attending physicians on the possibility of cefazolin-induced neutropenia, which led to bacteraemia from an opportunistic microorganism. The reversal was as simple as cessation of the antibiotic itself. However, if not recognized, it could be fatal.
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http://dx.doi.org/10.7759/cureus.35583 | DOI Listing |
Rev Bras Ortop (Sao Paulo)
November 2024
Departamento de Ortopedia, Fortis Hospital, Mohali, Punjab, Índia.
A 69-year-old female patient, who had been operated on 20 years ago (unipolar hip prosthesis), presented with a complaint of pain in the thigh and a limp with onset 1 year before. An X ray revealed stem subsidence and varus collapse. One-stage revision hip replacement was performed in view of poor cardiac status, and grew in the tissue culture.
View Article and Find Full Text PDFCureus
November 2024
Orthopedic Surgery, University of Tsukuba, Tsukuba, JPN.
Background and objective Orthopedic surgery, particularly joint replacement, involves the use of many implants, resulting in a large amount of product packaging waste. To date, no study has surveyed artificial joint manufacturers on the recycling and reduction of packaging materials and their Sustainable Development Goal (SDG) initiatives. This questionnaire survey aimed to identify the current status of orthopedic artificial joint manufacturers in terms of implementing SDG initiatives.
View Article and Find Full Text PDF3D Print Addit Manuf
December 2024
Institute of Materials Science and Engineering, Faculty of Mechanical Engineering, Lodz University of Technology, Łódź, Poland.
Fused Filament Fabrication (FFF) printing is one of the most all-purpose manufacturing techniques, allowing many complicated parts to be obtained at lower cost. This is especially important in prosthetics, where more complex prostheses, especially of a hand, can cause enormous expense. However, providing the full functionality of a prosthesis often requires combining materials with different properties, such as rigidity and flexibility.
View Article and Find Full Text PDFClin Biomech (Bristol)
December 2024
Department of Orthopedic Surgery, Hiroshima University Hospital Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima Prefecture, Japan.
Background: Total hip arthroplasty is the preferred treatment for advanced hip osteoarthritis, yet complications like hip dislocation (0.2 %-10 %) persist due to factors such as implant design, positioning, surgical technique, and patient-specific conditions. Impingement between prosthetic components or the acetabulum and proximal femur is a primary cause of instability.
View Article and Find Full Text PDFSci Rep
December 2024
Department of Orthopedic Surgery, The First Hospital of Hebei Medical University, NO. 89 Donggang Road, Shijiazhuang, 063000, Hebei, P. R. China.
The risks and benefits associated with simultaneous bilateral unicompartmental knee arthroplasty (UKA) continue to engender contentious debate. The aim of this study was to compare the clinical outcomes of simultaneous bilateral and unilateral UKA. A retrospective review was performed between 2019 and 2022 on 280 patients (130 simultaneous bilateral vs.
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