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Related Concept Videos

Structural Joints: Synovial Joints01:16

Structural Joints: Synovial Joints

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Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
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Structural Joints: Fibrous Joints01:03

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Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
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Structural Joints: Cartilaginous Joints01:17

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As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
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Joints01:26

Joints

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Joints, also called articulations or articular surfaces, are points at which ligaments or other tissues connect adjacent bones. Joints permit movement and stability, and can be classified based on their structure or function.
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
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Introduction to Joints00:58

Introduction to Joints

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The adult human body usually has 206 bones, and except for the hyoid bone in the neck, each bone is connected to at least one other bone. Joints are the location where bones come together. Many joints allow for movement between the bones. At these joints, the articulating surfaces of the adjacent bones can move smoothly against each other. However, the bones of other joints may be joined by connective tissue or cartilage. These joints are designed for stability and provide little or no...
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Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Customizing a Cryolite Glass Prosthetic Eye
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[Prosthetic joint infection].

Henk Scheper1,2, Marjan Wouthuyzen-Bakker3, Karin Ellen Veldkamp4

  • 1LUMC, afd. Infectieziekten, Leiden.

Nederlands Tijdschrift Voor Geneeskunde
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Summary

Prosthetic joint infection (PJI) management depends on acuity. Acute PJI may be treated with debridement and antibiotics, while chronic PJI often requires prosthesis replacement.

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Surgical Innovation

Background:

  • Prosthetic joint infection (PJI) is a severe complication impacting patient mobility and quality of life.
  • Effective management strategies are crucial for successful patient outcomes.
  • Treatment approaches differ significantly between acute and chronic PJI cases.

Purpose of the Study:

  • To outline current strategies for managing prosthetic joint infections.
  • To differentiate treatment protocols for acute versus chronic PJI.
  • To emphasize the importance of a multidisciplinary approach in PJI care.

Main Methods:

  • Review of established treatment guidelines for PJI.
  • Analysis of surgical interventions including debridement and prosthesis replacement.
  • Evaluation of antibiotic therapy for both acute and chronic infections.

Main Results:

  • Acute PJI management focuses on infection eradication while preserving the prosthesis through debridement and antibiotics.
  • Chronic PJI typically necessitates prosthetic joint replacement.
  • For non-surgical candidates, chronic suppressive antibiotic therapy offers an alternative.

Conclusions:

  • Successful PJI management requires tailored strategies based on infection chronicity.
  • Surgical intervention remains a cornerstone for acute and chronic PJI treatment.
  • A multidisciplinary team approach is vital for optimizing patient outcomes in prosthetic joint infections.