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choice and use of the proper antibiotic. Information on antibiotic-impregnated acrylic composites used in conjunction with systemic antibiotics is provided as well. Part three of the book essentially deals with the difficulties in management of the problematic joint replacement; the majority of this portion consists of the personal experiences of the authors. This section prov.ides commentary on joint replacement problems of various types, including total hip arthroplasty, girdlestone pseudarthrosis, infections in total knee arthroplasty, and upper-extremity joint replacement problems as they pertain to infection. The final part of the monograph was written by the late Sir John Charnley (to whom the entire volume is dedicated) and consists of a single chapter entitled "The future of total hip replacement." His highly regarded comments cover post-operative infection, antibiotics in acrylic cement, his faith in an ultra-clean air operating room environment with antibiotic prophylaxis, and the significance of infection in joint replacement research. Infection of the type discussed in this volume is a relatively uncommon but serious problem and therefore deserves attention. Hence, this well-illustrated and wellreferenced work makes a significant contribution to the medical literature and serves as a lucid guide for orthopedic surgeons or any others interested in the problem of infection in joint replacement.