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Related Experiment Videos

Secondarily infected total joint replacements by hematogenous spread.

R D D'Ambrosia, H Shoji, R Heater

    The Journal of Bone and Joint Surgery. American Volume
    |June 1, 1976
    PubMed
    Summary

    Hematogenous infections can complicate total joint replacement surgery. Concomitant diseases like rheumatoid arthritis increase the risk of these serious post-operative infections.

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    Area of Science:

    • Orthopedic Surgery
    • Infectious Diseases
    • Rheumatology

    Background:

    • Total joint replacement is a common orthopedic procedure.
    • Post-operative infections are a significant complication.
    • Hematogenous seeding is a potential route for infection.

    Observation:

    • Three fatal cases of infection following total joint replacement were reported.
    • In each fatal case, a hematogenous source of infection was identified.
    • Five similar non-fatal cases were found in the literature.

    Findings:

    • Hematogenous infection is a recognized complication of total joint replacement.
    • Patients with concomitant diseases, such as active rheumatoid arthritis, are at increased risk.
    • Early identification and management of potential hematogenous sources are crucial.

    Implications:

    • Clinicians should be vigilant for hematogenous infections in patients undergoing total joint replacement.
    • Pre-existing conditions like rheumatoid arthritis warrant careful consideration due to increased infection risk.
    • Further research into preventative strategies for hematogenous infections in orthopedic surgery is needed.

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