Feature Article

Leukocyte Esterase Strip Test: A Rapid and Reliable Method for the Diagnosis of Infections in Arthroplasty

Orthopedics, March/April 2018, Volume 41 Issue 2
The reliability of the leukocyte esterase (LE) strip test needs further investigation. A total of 204 joints suspected of having periprosthetic joint…

Feature Article

Host Factors Affect the Outcome of Arthroscopic Lavage Treatment of Septic Arthritis of the Knee

Orthopedics, March/April 2018, Volume 41 Issue 2
The purpose of this study was to determine the prognostic factors related to the outcome of lavage surgery in patients with septic arthritis of the…

Meeting NewsVideo

VIDEO: Presenter said prevention protocol reduces infection rate in high-risk TJA patients

March 21, 2018
NEW ORLEANS — At the American Academy of Orthopaedic Surgeons Annual Meeting, Richard Iorio, MD, spoke about a study that evaluated the use of…

Meeting NewsVideo

VIDEO: Presenter notes low 30-day morbidity, complication rates seen with joint preservation surgery

March 19, 2018
NEW ORLEANSAt the American Academy of Orthopaedic Surgeons Annual Meeting, Pablo G. Castañeda, MD, discussed a study that compared…

Infection Watch

Beyond culture: What is matrix-assisted laser desorption ionization time of flight mass spectrometry?

Orthopedics Today, March 2018
Kier Blevins, BA; Karan Goswami, MD; Javad Parvizi, MD, FRCS
Pathogen identification remains a challenge and culture methods have limitations. Novel molecular methods have become clinically available…

Orthopedics Today Grand Rounds

A 70-year-old man with 3 months of worsening left shoulder pain following TSA

Orthopedics Today, March 2018
Evan E. Vellios, MD; Frank A. Petrigliano, MD
A 70-year-old right-hand-dominant man presented to the orthopedic clinic with 3 months of worsening left shoulder pain after having undergone total…

Meeting News

Antibiotic pretreatment did not reduce surgical culture yield

March 9, 2018
NEW ORLEANS — Antibiotic pretreatment in pediatric patients with hematogenous infections did not reduce surgical culture yield, according to…

Meeting News

Speaker: Identify risk factors for kidney dysfunction with gentamicin prophylaxis

March 8, 2018
NEW ORLEANS — Patients who receive a low dose of gentamicin for type 3 open fracture prophylaxis showed kidney dysfunction and other symptoms…

Meeting News

Soft tissue management, plastic surgery decreased limb loss in TKA patients with wound complications

March 8, 2018
NEW ORLEANS —  The risk of limb loss in patients with compromised soft tissue envelopes after total knee arthroplasty decreased with…

Meeting News

Early reoperation after THA yielded higher risk for infection, wound complications

March 6, 2018
NEW ORLEANS — Patients who returned to the operating room within 90 days after primary total hip arthroplasty had a significantly higher risk…

Meeting NewsVideo

VIDEO: Poor outcomes in patients with acute, traumatic wound dehiscence who undergo TKA

March 6, 2018
NEW ORLEANS At the American Academy of Orthopaedic Surgeons Annual Meeting, Robert A. Sershon, MD, spoke about a study which looked at…

In the Journals

Antibiotic-loaded cement spacers yielded elevated systemic antibiotic concentrations after TJA

March 2, 2018
Among patients with periprosthetic joint infection, use of high-dose antibiotic-loaded cement spacers yielded elevated systemic antibiotic…

Meeting NewsVideo

VIDEO: Presenter spoke about prophylaxis for VTE

February 20, 2018
KOLOA, Hawaii – At Orthopedics Today Hawaii 2018, Robert D’Ambrosia, MD, spoke about prophylaxis for VTE.

In the Journals

Next-generation sequencing may help identify causative organisms in PJI

January 24, 2018
Next-generation sequencing, in combination with culture collection, may help identify causative organisms in culture-negative periprosthetic joint…

In the JournalsPerspectiveFrom OT Europe

Risk of surgical site infection after lower limb implant removal not reduced with cefazolin

January 16, 2018
A single preoperative dose of IV cefazolin did not reduce the risk of surgical site infection within 30 days following removal of orthopedic implants…

In the Journals

Irrigation and debridement, component retention seen as viable option for treating hip infection

January 15, 2018
In a contemporary series, investigators found irrigation, debridement and component retention for hip infection had a high rate of success…

In the Journals

Black children experience higher risk of mortality after surgery

January 10, 2018
Risk factors for mortality after surgery, including use of ventilation, oxygen support and wound infections, are more prevalent in black children…

In the JournalsPerspective

Increased risk of SSI seen in MRSA-colonized patients who underwent THA or TKA

January 3, 2018
Results from a recently published study demonstrated MRSA-colonized patients who underwent total hip arthroplasty or total knee arthroplasty had a…

Cover Story

Take intraoperative steps to reduce joint infection risk

Orthopedics Today, January 2018
With an increasing number of total knee arthroplasty and total hip arthroplasty procedures being performed in the United States, the rate of failure…

Point/Counter

Does intraoperative use of vancomycin powder help reduce prosthetic joint infection?

Orthopedics Today, January 2018
The administration of vancomycin powder into orthopedic surgical wounds has been well described in the setting of posterior spinal fusion. With the…