Introduction Recent projections have forecast that by the year 2030 the number of primary total knee arthroplasty procedures will increase to 3.48 million, an increase of 673% compared with 2005, and the number of primary total hip arthroplasties will increase by 174% to 572,000, with the expectant result being that over 4 million primary total joint arthroplasties will be performed in the Unit...

BACKGROUND Periprosthetic joint infection (PJI) is the most severe complication, following joint arthroplasty. Identification of the causal microbial factor is of paramount importance for the successful treatment. PURPOSE The aim of this study is to compare the sonication fluid cultures derived from joint prosthetic components with the respective periprosthetic tissue cultures. METHODS Expl...

➤ The number of patients with end-stage osteoarthritis is increasing, and treatment with hip and knee arthroplasty is expected to increase over the next several decades. ➤ Dental disease has long been anecdotally associated with increased periprosthetic joint infections, although case-control studies do not support this relationship. ➤ While most recent guidelines for the prevention of endocard...

BACKGROUND The clinical benefit of chronic suppression with oral antibiotics as a salvage treatment for periprosthetic joint infection is unclear. The purpose of this study was to compare infection-free prosthetic survival rates between patients who received chronic oral antibiotics and those who did not following irrigation and debridement with polyethylene exchange or two-stage revision for p...

BACKGROUND Serum erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are important tests in the initial diagnosis of periprosthetic joint infection. Many surgeons also use these tests to determine if infection has resolved between stages of a 2-stage procedure, but little data exist regarding this practice. METHODS A retrospective review of our institutional total joint database...

Total joint arthroplasty (TJA) is the ultimate treatment for degenerative joint disease. For the majority of patients, it leads to regained function and improved quality of life. By 2030, the total number of primary total knee arthroplasty (TKA) procedures performed annually in the United States is expected to reach nearly 3.48 million, a 673% increase from the number performed in 2005. Further...

Mycoplasma pneumoniae periprosthetic joint infection identified by 16S ribosomal RNA gene amplification and sequencing: A case report.

BACKGROUND Evaluating for the possibility of prosthetic joint infection in the setting of periprosthetic fracture is important because it determines the course of treatment. However, fracture-related inflammation can make investigations used in the diagnosis of infection less reliable. QUESTIONS/PURPOSES The purpose of our study was to evaluate synovial fluid nucleated cell counts as a diagno...

Erratum After the publication of the article [1] is was brought to our attention that the title was incorrectly given as “High incidence of periprosthetic joint infection with propionibacterium acnes after the use of a stemless shoulder prosthesis with metaphyseal screw fixation a retrospective cohort study of 241 patients propionibacter infections after eclipse TSA”. The correct title is “High...

conclusion of the asymptomatic patients investigated, 58% showed focal enhanced periprosthetic glucose metabolism. this finding should be taken into consideration as a more probable unspecific metabolic pattern for correct interpretation of 18f-fdg-pet studies in patients with suspected septic loosening of the hip prosthesis. results fourteen hip prostheses in 12 patients were visually analyzed...