Feature Article

Positive “Surprise” Broth Cultures in Nonunion Surgery Do Not Require Antibiotic Treatment

Orthopedics
Online Advanced Release, October 7, 2019
The objective of this study was to review the efficacy of a treatment approach for patients with positive intraoperative cultures during fracture…

Meeting News

Negative pressure wound therapy may increase deep infection rate

October 2, 2019
DENVER — Patients managed with negative pressure wound therapy for severe open fracture wounds experienced lower physical quality of life…

Meeting News

Patients who undergo isolated fibular sesamoidectomy report long-term pain relief

September 14, 2019
CHICAGO — At long-term follow-up, patients with sesamoiditis, fracture, nonunion, osteonecrosis and arthritis who underwent isolated fibular…

Meeting NewsVideo

VIDEO: Concomitant corticosteroid injections may increase infection risk in hand procedures

September 10, 2019
LAS VEGAS — At the American Society for Surgery of the Hand Annual Meeting, Kevin F. Lutsky, MD, discussed a study that looked at the rate of…

Meeting News

Corticosteroid injection prior to carpal tunnel release increased infection risk

September 7, 2019
LAS VEGAS — Patients who received a corticosteroid injection within 1 year preoperatively of carpal tunnel release had an increased risk of…

Meeting News

Alpha-defensin lateral flow test yielded excellent sensitivity, specificity for PJI

September 4, 2019
NEW YORK — The alpha-defensin lateral flow test yielded excellent sensitivity and specificity for periprosthetic joint infection and had a…

Orthopedics Today Grand Rounds

Man with posterior knee mass

Orthopedics Today, August 2019
George F. Hatch III, MD; Harrison F. Kay, MD; Jihoon T. Choi, MD; Moé R. Takeda, MD
A 36-year-old man was referred for the management of ongoing posterior right knee pain and discomfort following a complicated surgical history for…

Meeting News

Rifampin intolerance seen in 23% of patients with orthopedic infections

August 12, 2019
NEW YORK — Among 75 patients who began rifampin therapy in conjunction with other medications to treat staphylococcal prosthetic joint…

Meeting NewsFrom OT Europe

Reinfection not linked with vancomycin, impaction grafting for infected THA revision

August 8, 2019
NEW YORK — Infection eradication and limited stem migration occurred at 2-year minimum follow-up in patients who underwent staged total hip…

Meeting News

Study: Antibiotic cement is not cost effective for infection prevention in TKA

August 7, 2019
NEW YORK — According to a presenter at the Musculoskeletal Infection Society Annual Open Scientific Meeting, routine use of antibiotic-loaded…

From OT Europe

EFORT Webinars for 2019 available to replay

Orthopaedics Today Europe, August 2019
Did you miss one of the recent EFORT webinars? The replay of these webinars is available free of charge at www.efort.org/escience. Login or create an…

Meeting News

Mental health conditions present in 22.6% of patients who undergo septic TKA revision

August 4, 2019
NEW YORK — There was a greater prevalence of mental health conditions among patients undergoing septic revision total knee arthroplasty…

Meeting News

Arthroplasty for septic arthritis linked with 12.4% prosthetic joint infection rate

August 3, 2019
NEW YORK — Male gender, a diagnosis of diabetes and having native septic arthritis are factors that put patients with septic arthritis who…

Meeting News

Better guidelines needed to manage postoperative spine infection

August 2, 2019
NEW YORK — Compared to the literature available about how to manage acute and chronic infection in the total joint arthroplasty, few guidelines…

Feature Article

The Effects of Timing of Soft Tissue Coverage on Outcomes After Reconstruction of Type IIIB Open Tibia Fractures

Orthopedics, September/October 2019, Volume 42 Issue 5
High-energy open fractures of the tibia are frequently associated with tissue loss, wound contamination, and compromised vascularity that often…

Pharmacology Consult

Nasal decolonization: potential mupirocin alternatives for SSI prevention

Infectious Disease News, July 2019
Jeff Brock, PharmD, MBA, BCPS-AQ ID
Staphylococcus aureus nasal carriage is a proven risk factor for the development of staphylococcal surgical site infections, or SSIs. S. aureus

Meeting News

Risk stratification will drive decline in VTE rates in orthopedic patients

July 17, 2019
LISBON, Portugal — Being better able to predict which patients need thromboprophylaxis following hip and knee arthroplasty is the way forward…

In the Journals

Rapid musculoskeletal diagnostic panel could improve care of children

July 10, 2019
Findings from a retrospective analysis suggested that the use of a rapid musculoskeletal diagnostic panel, or MDP, could have shortened the time it…

Perspective

Researchers push for revision of IDSA diabetic foot infection classification

June 28, 2019
Researchers suggested that diabetic foot osteomyelitis — which results in worse outcomes compared with soft tissue infections — should be…

In the Journals

Traditional laboratory markers may hold low diagnostic utility for PJI in immunosuppressed patients

June 27, 2019
White blood cell counts and inflammatory markers may hold lower diagnostic utility among patients in an immunosuppressed state who experienced…