Modern Cementing Technique
The Periprosthetik Infection
Periprosthetic infection is a severe complication following artificial joint replacement. It is a failure for the surgeon and a catastrophe for the patient.
In the beginning of the 1960s Charnley reported an infection rate of more than 10%. By 1992 the Health Care Financing Centre was reporting the incidence of postoperative infection after total hip arthroplasty at 12% among the Medicare patient population. Fitzgerald and others indicate that specialised centres have achieved rates of infection in patients with primary osteoarthritis as low as 0.5%.
Since the mid 1970s we have performed some 6000 septic revision arthroplasties: approximately 5000 hip revisions and 1000 infected knee arthroplasties. Understanding the progress and pathogeneses of these infections is the key to performing a successful therapy.
>>Pathogeneses
>>Diagnosis
>>Antibiotics & Bone Cement
>>Therapy
>>Conclusions
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