Here are reported data on virulence determinants of Staphylococcus aureus from orthopedic surgical infections, emphasizing on the genes encoding fibronectin (fnbA, fnbB) and collagen (cna) adhesins. 191 S. aureus strains from orthopedic infections (53 from internal fixation devices, 29 external fixation devices, 15 knee arthroprostheses, 30 hip arthroprostheses, 45 surgical reconstruction and 1...

conclusions apc referral for elevated hba1c reduces complication rate and the incidence of prolonged hospitalization during the first year after surgery in diabetics undergoing tja. results patients (197 men, 6 women) underwent 71, 131, and 1 total hip, knee, and shoulder replacements, respectively. patients undergoing tja with uncontrolled hba1c and those with hba1c < 10%, but not those with h...

Bone and soft tissue infections are serious problems in orthopedic and reconstructive surgery. Especially, chronic osteomyelitis is a difficult infection to treat and eradicate. Long term parenteral antibiotics with multiple surgical debridements are often required for effective therapy (Cierny & Mader, 1984). Therefore, it is understandable that continuous efforts are being made and complete o...

Implant loosening, bone healing failure, implant-associated infections, and large bony defects remain challenges in orthopedic surgery. surface modifications coatings are being developed to promote osteointegration, prevent colonization by bacteria, release bioactive factors. The following mini-review briefly discusses the clinical problem, explains four “osteos”, presents examples of used for ...

INTRODUCTION Multidrug-resistant Acinetobacter baumannii has become a significant cause of healthcare-associated infections, but few reports have addressed Acinetobacter baumannii infections associated with orthopedic devices. The current recommended treatment for complicated infections due to orthopedic devices, including resistant gram-negative rods, consists of antimicrobial therapy with deb...

Major orthopedic surgery describes three surgical procedures including total hip replacement (THR), total knee replacement (TKR), and hip fracture surgery (HFS). As a whole, major orthopedic surgery carries a risk for venous thromboembolism (VTE), and therefore, a variety of strategies to prevent VTE are available. Such strategies include pharmacological (antiplatelet, anticoagulant) and mechan...

Major orthopedic surgery describes three surgical procedures including total hip replacement (THR), total knee replacement (TKR), and hip fracture surgery (HFS). As a whole, major orthopedic surgery carries a risk for venous thromboembolism (VTE), and therefore, a variety of strategies to prevent VTE are available. Such strategies include pharmacological (antiplatelet, anticoagulant) and mechan...

From March to May 2003, the USNS Comfort was deployed to the Persian Gulf in support of combat operations for Operation Iraqi Freedom. The onboard orthopedic service treated 58 U.S. casualties during that period. Eighty-seven percent of the injuries were to the appendicular skeleton. Twenty-four percent were battle injuries, and 72% were nonbattle injuries. Patients with battle injuries tended ...

Orthopedic disabilities can result from many causes: accident, stroke, birth defects, viral infections and neurological disorders, to name a few. Individuals with orthopedic disabilities make up the largest segment of the disabled population. For persons with orthopedic disabilities which affect the upper body, productive use of computers must address three critical issues: keyboard positioning...

OBJECTIVE To determine the epidemiological characteristics of postoperative invasive Staphylococcus aureus infection following 4 types of major surgical procedures.design. Retrospective cohort study. SETTING Eleven hospitals (9 community hospitals and 2 tertiary care hospitals) in North Carolina and Virginia. PATIENTS Adults undergoing orthopedic, neurosurgical, cardiothoracic, and plastic ...