Infections, An Issue of Orthopedic Clinics

1st Edition, Volume 55-2 - February 28, 2024
Editor: Frederick M. Azar
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 7 3 - 5
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 7 4 - 2

In this issue of Orthopedic Clinics, guest editors from the esteemed Campbell Clinic bring their considerable expertise to the topic of Infections. Eleven top experts discuss key c… Read more

Infections, An Issue of Orthopedic Clinics

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In this issue of Orthopedic Clinics, guest editors from the esteemed Campbell Clinic bring their considerable expertise to the topic of Infections. Eleven top experts discuss key concepts relating to infections to guide effective decision making. Early diagnosis and treatment are key to success, and in order to address an infection, the medical care team needs to address four fundamental questions: where is it, what is it, how severe is it, and how to treat it. The articles outlined in this issue will help physicians better understand common pathogens, identify signs of infection, and ultimately answer these fundamental questions in order to improve patient outcomes.

Cover image
Title page
Table of Contents
Copyright
Editorial Board
Contributors
Forthcoming Issues
Preface
Knee and Hip Reconstruction
Current Concepts on the Clinical and Economic Impact of Periprosthetic Joint Infections
Key points
Introduction
Summary of the clinical problem
Summary of the economic problem
Summary
Clinics care points
Biofilm and How It Relates to Prosthetic Joint Infection
Key points
Introduction
Background
Evaluation
Management
Prevention
Future directions
Summary
Clinics care points
Innovations in the Isolation and Treatment of Biofilms in Periprosthetic Joint Infection: A Comprehensive Review of Current and Emerging Therapies in Bone and Joint Infection Management
Key points
Introduction
Summary
Clinics care points
Articulating Spacers in Total Hip Arthroplasty: Surgical Technique and Outcomes
Key points
Introduction
Single-stage versus two-stage outcomes
Complications
Summary
Clinics care points
Disclosure
Recurrent Periprosthetic Joint Infections: Diagnosis, Management, and Outcomes
Key points
Introduction/background/prevalence
Patient evaluation overview
Diagnosis of recurrent periprosthetic joint infection
Patient-related outcome predictors
Pathogen-related outcome predictors
Surgery-related outcome predictors
Staging systems and predictive tools for 2-stage periprosthetic joint infection management
Treatment options for recurrent periprosthetic joint infection
Management recommendations for recurrent periprosthetic joint infection
New developments
Summary
Clinics care points
Trauma
The State of Local Antibiotic Use in Orthopedic Trauma
Key points
Introduction
Discussion
Summary
Clinics care points
Disclosure
Pediatrics
Navigating the Enigma of Pediatric Musculoskeletal Infections: A Race Against Time
Key points
Introduction
Task 1: Where is the infection?
Task 2: Is it an infection, and if so, what is the pathogen?
Task 3: How severe is the musculoskeletal infection
Task 4: How to treat the musculoskeletal infection
Summary
Clinics care points
Funding
Sequestration and Involucrum: Understanding Bone Necrosis and Revascularization in Pediatric Orthopedics
Key points
Introduction
Clinical implications
What to do when involucrum does not form
Summary
Clinics care points
Funding
Shoulder and Elbow
The Septic Elbow Joint: Treatment Approaches for Improved Patient Outcomes
Key points
Introduction
Infectious agents
Patient evaluation overview
Diagnostic Procedure
Elbow joint aspiration
Medical management
Surgical treatment options
Arthroscopic irrigation and debridement surgical procedure overview
Open irrigation and debridement surgical procedure overview
Septic arthritis of the elbow treatment algorithm
Discussion
Diagnostic Evaluation of Prosthetic Joint Infections of the Shoulder: What Does the Literature Say?
Key points
Introduction
Cutibacterium acnes and prosthetic shoulder infections
Radiographic analysis of a shoulder with possible prosthetic joint infection
Serum workup for shoulder prosthetic joint infection
Intra-articular aspiration and testing of aspirate
Arthroscopic biopsy for the evaluation of shoulder prosthetic joint infection
Summary
Hand and Wrist
Fingertip Infections
Key points
Introduction
Anatomy
Acute paronychia
Chronic paronychia
Felon
Distal interphalangeal joint septic arthritis
Osteomyelitis
Zoonoses
Mimics
Summary
Clinics care points
Management of the Septic Wrist: A Systematic Review of Etiology and Therapeutic Strategies
Key points
Introduction
Patient evaluation overview
Diagnostic procedures
Infectious agents
Medical management
Consultation
Surgical treatment options for septic wrist joint
Arthrocentesis of the wrist joint
Open surgical drainage of the wrist joint
Arthroscopic drainage and debridement of the wrist joint
Septic arthritis of the wrist treatment algorithm
Complications
Postoperative care
Pearls and pitfalls
Discussion
Foot and Ankle
Diagnosis and Management of Infected Total Ankle Replacements
Key points
Introduction
Patient risk factors
Diagnosis
Preoperative work-up
Laboratory testing
Summary
Clinics care points
Disclosure
The Differentiation Between Infection and Acute Charcot
Key points
Introduction/background
Nature of the problem
Considerations
Prevalence/incidence
Evaluation
Imaging
Additional testing
Recommendations
Discussion
Summary
Clinics care points

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Infections, An Issue of Orthopedic Clinics

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Frederick M. Azar