Diagnosis and treatment of the infected primary total knee arthroplasty.

William Mihalko, Abhijit Manaswi, Quanjun Cui, Javad Parvizi, Thomas P. Schmalzried, Khaled J. Saleh

Research output: Contribution to journalReview article

14 Citations (Scopus)

Abstract

A diagnosis of infection in the painful primary total knee replacement is not always a straightforward endeavor. No single, fail-proof diagnostic study for infection exists. Often multiple diagnostic studies that include imaging, blood work, and joint aspiration as well as history and physical examination need to be considered. Infection may not always be determined before surgery, in which case intraoperative frozen sections can help to confirm infection or refute a negative workup. Treatment options vary, depending on the timing in the infection process and the source of the infection and may consist of simpler treatment courses, such as irrigation, débridement, and polyethylene exchange, to more complex treatment courses, such as two-stage revision with an antibiotic spacer to fusion or amputation. The orthopaedic surgeon uses an essential armamentarium of diagnostic and treatment options to determine the presence of infection and tailor the individual treatment of each patient.

Original languageEnglish (US)
Pages (from-to)327-339
Number of pages13
JournalInstructional course lectures
Volume57
StatePublished - Jan 1 2008
Externally publishedYes

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Knee Replacement Arthroplasties
Infection
Therapeutics
Frozen Sections
Polyethylene
Amputation
Physical Examination
Joints
History
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Mihalko, W., Manaswi, A., Cui, Q., Parvizi, J., Schmalzried, T. P., & Saleh, K. J. (2008). Diagnosis and treatment of the infected primary total knee arthroplasty. Instructional course lectures, 57, 327-339.

Diagnosis and treatment of the infected primary total knee arthroplasty. / Mihalko, William; Manaswi, Abhijit; Cui, Quanjun; Parvizi, Javad; Schmalzried, Thomas P.; Saleh, Khaled J.

In: Instructional course lectures, Vol. 57, 01.01.2008, p. 327-339.

Research output: Contribution to journalReview article

Mihalko, W, Manaswi, A, Cui, Q, Parvizi, J, Schmalzried, TP & Saleh, KJ 2008, 'Diagnosis and treatment of the infected primary total knee arthroplasty.', Instructional course lectures, vol. 57, pp. 327-339.
Mihalko W, Manaswi A, Cui Q, Parvizi J, Schmalzried TP, Saleh KJ. Diagnosis and treatment of the infected primary total knee arthroplasty. Instructional course lectures. 2008 Jan 1;57:327-339.
Mihalko, William ; Manaswi, Abhijit ; Cui, Quanjun ; Parvizi, Javad ; Schmalzried, Thomas P. ; Saleh, Khaled J. / Diagnosis and treatment of the infected primary total knee arthroplasty. In: Instructional course lectures. 2008 ; Vol. 57. pp. 327-339.
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