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Management of Orthopaedic Infections : A Practical Guide / / by: Chen, Antonia F.
Management of Orthopaedic Infections : A Practical Guide / / by: Chen, Antonia F.
Autore Brause MD, Barry D
Pubbl/distr/stampa New York, New York : , : Thieme Medical Publishers, Inc., , [2021]
Descrizione fisica 1 online resource (194 pages)
Disciplina 618.927
Soggetto topico Bone diseases
ISBN 1-63853-668-6
1-68420-370-8
1-68420-134-9
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Intro -- MedOne Access Information -- Title -- Copyright -- Dedication -- Contents -- 1 Detection of Microbes in Orthopaedic Infections -- 1.1 Introduction -- 1.2 Culture-Based Microbiology -- 1.2.1 Limitations of Culture-Based Microbiology -- 1.2.2 Detection of Microbes in Biofilm -- 1.2.3 Infections with Atypical Organisms -- 1.2.4 Orthopaedic Hardware Infections -- 1.2.5 Native Bone and Joint Infections -- 1.3 Molecular Techniques -- 1.3.1 Polymerase Chain Reaction (PCR) -- 1.3.2 Next-Generation Sequencing (NGS) -- 1.4 Conclusions -- 2 Antibiotics for Orthopaedic Infections -- 2.1 Systemic Antibiotics -- 2.1.1 Definitions -- 2.1.2 Antibiotic Selection and Administration -- 2.1.3 Intravenous versus Oral Antibiotics -- 2.2 Antiseptics -- 2.2.1 Povidone-Iodine -- 2.2.2 Chlorhexidine (Gluconate/Digluconate) -- 2.3 Carriers that may be Associated with Antibiotics -- 2.3.1 Nondegradable -- 2.3.2 Biodegradable -- 2.4 Antibiotics for Use in Carriers -- 2.4.1 Gentamicin/Tobramycin -- 2.4.2 Vancomycin -- 2.5 Topical Antibiotics -- 2.6 Treatment Failure -- 2.7 Collaboration between Orthopaedic Surgeons and Infectious Disease Specialists -- 2.8 Conclusion -- 3 Irrigation Solutions for Orthopaedic Infections -- 3.1 Acetic Acid -- 3.1.1 Overview of Antiseptic Agents -- 3.1.2 Efficacy as Surgical Wound Irrigant -- 3.2 Bacitracin and Polymyxin -- 3.2.1 Overview of Antiseptic Agent -- 3.2.2 Efficacy as a Surgical Wound Irrigant -- 3.3 Dilute Povidone-Iodine (PI) -- 3.3.1 Overview of Antiseptic Agent -- 3.3.2 Efficacy as a Surgical Wound Irrigant -- 3.4 Chlorhexidine -- 3.4.1 Overview of Antiseptic Agent -- 3.4.2 Efficacy as a Surgical Wound Irrigant -- 3.5 Sodium Hypochlorite (NaOCl) -- 3.5.1 Overview of Antiseptic Agent -- 3.5.2 Efficacy as a Surgical Wound Irrigant -- 3.6 Hydrogen Peroxide -- 3.6.1 Overview of Antiseptic Agent.
3.6.2 Efficacy as a Surgical Wound Irrigant -- 3.7 Conclusion -- 4 Surgical Wound Dressings after Treating Orthopaedic Infections -- 4.1 Introduction -- 4.2 Characteristics of Optimal Surgical Dressings -- 4.3 Dressing Types -- 4.3.1 Nonocclusive and Occlusive Dressings -- 4.3.2 Dressing Application Tips and Tricks -- 4.3.3 Wound Vacuum Systems -- 4.4 Algorithm for Surgical Dressing Selection -- 4.5 Conclusion -- 5 Osteomyelitis -- 5.1 Introduction -- 5.2 Terminology -- 5.3 Classification -- 5.3.1 Type 1 (Medullary) -- 5.3.2 Type 2 (Superficial) -- 5.3.3 Type 3 (Localized) -- 5.3.4 Type 4 (Diffuse) -- 5.4 Diagnosis -- 5.4.1 Clinical Features -- 5.4.2 Laboratory Tests -- 5.4.3 Imaging -- 5.4.4 Microbiological Diagnosis -- 5.4.5 Histological Diagnosis -- 5.5 Diagnostic Criteria -- 5.6 Microbiology -- 5.7 Treatment of Osteomyelitis -- 5.7.1 General Considerations -- 5.7.2 Acute Osteomyelitis -- 5.7.3 Chronic Osteomyelitis -- 5.7.4 Operative Treatment -- 5.7.5 Tissue Sampling -- 5.7.6 Tissue Excision -- 5.7.7 Antimicrobial Therapy -- 5.7.8 Dead Space Management -- 5.7.9 Bone Stabilization -- 5.7.10 Soft-Tissue Coverage -- 5.7.11 Staging of Surgery -- 5.8 Conclusion -- 6 Treatment of the Septic Native Joint -- 6.1 Introduction -- 6.2 Diagnosis -- 6.2.1 Risk Factors -- 6.2.2 Joint Involvement -- 6.2.3 Clinical Manifestations -- 6.2.4 Serum Evaluation -- 6.2.5 Synovial Analysis -- 6.2.6 Imaging -- 6.3 Treatment -- 6.3.1 Common Organisms -- 6.3.2 Gonococcal Arthritis -- 6.3.3 Other Pathogens -- 6.3.4 Antimicrobial Therapy -- 6.3.5 Surgical Treatment -- 6.3.6 Needle Aspiration -- 6.3.7 Arthroscopic Treatment -- 6.3.8 Open Treatment -- 6.4 Conclusion -- 7 Management of Periprosthetic Joint Infection -- 7.1 Introduction -- 7.2 Chronicity of Infection -- 7.3 Antibiotic Management Alone -- 7.4 Irrigation and Debridement.
7.4.1 Irrigation and Debridement without Polyethylene Exchange -- 7.5 DAIR -- 7.6 One-Stage Exchange Arthroplasty -- 7.6.1 Preparation -- 7.6.2 Debridement -- 7.6.3 Temporary Closure -- 7.6.4 New Prosthesis Implantation -- 7.6.5 Outcomes of One-Stage Exchange Arthroplasty -- 7.7 Two-Stage Exchange Arthroplasty -- 7.7.1 First Stage: Debridement and Antibiotic Spacer Implantation -- 7.7.2 Second Stage: Reimplantation -- 7.7.3 Outcomes of Two-Stage Exchange Arthroplasty -- 7.8 Salvage Procedures for PJI -- 7.9 Conclusion -- 8 Infection after Fracture Fixation and Infected Nonunions -- 8.1 Antibiotic Prophylaxis for Open Fractures -- 8.2 Diagnosis -- 8.2.1 Clinical Diagnosis -- 8.2.2 Laboratory Tests -- 8.3 Imaging -- 8.3.1 Radiography -- 8.3.2 Computed Tomography -- 8.3.3 Magnetic Resonance Imaging -- 8.3.4 Nuclear Medicine Studies -- 8.4 Microbiology -- 8.4.1 Cultures -- 8.4.2 Common Organisms -- 8.5 Surgical Treatment -- 8.5.1 Irrigation Solutions -- 8.5.2 Pin Tract Infections -- 8.5.3 Irrigation and Debridement with Hardware Retention -- 8.5.4 Irrigation and Debridement with Hardware Removal -- 8.5.5 Irrigation and Debridement and Revision Fracture Surgery-One-Stage -- 8.5.6 Irrigation and Debridement with Hardware Removal and Antibiotic Spacer Placement-Two-Stage -- 8.6 Soft-Tissue Coverage -- 8.7 Antibiotics -- 8.8 Conclusion -- 9 Spine Infections -- 9.1 Spinal Epidural Abscesses -- 9.1.1 Introduction and Epidemiology -- 9.1.2 Anatomy and Pathogenesis -- 9.1.3 Presentation and Diagnosis -- 9.1.4 Management and Surgical Decision-Making -- 9.1.5 Prognosis -- 9.2 Vertebral Osteomyelitis and Diskitis -- 9.2.1 Introduction and Epidemiology -- 9.2.2 Anatomy and Pathogenesis -- 9.2.3 Presentation and Diagnosis -- 9.2.4 Management and Surgical Decision-Making -- 9.2.5 Prognosis -- 9.3 Conclusion -- 10 Graft Infections -- 10.1 Introduction.
10.2 Risk Factors for Graft Infection -- 10.2.1 The Effect of Graft Type on Rates of Postoperative Infection -- 10.3 Clinical Presentation and Management -- 10.3.1 Clinical Presentation -- 10.3.2 Laboratory Evaluation -- 10.3.3 Surgical Site Infection versus Intra-articular Graft Infection -- 10.3.4 Organisms Responsible for Graft Infection -- 10.4 Management of Graft Infection -- 10.4.1 Nonsurgical Management -- 10.4.2 Surgical Management of Graft Infection -- 10.4.3 Graft Retention -- 10.4.4 Hardware Retention -- 10.4.5 Graft Replantation -- 10.4.6 Antibiotic Management -- 10.5 Outcomes and Complications -- 10.5.1 Recurrent Instability and Reoperation -- 10.5.2 Patient Reported Outcomes Following Graft Infection -- 10.5.3 Graft Infection Cost -- 10.6 Graft Infection Prevention -- 10.6.1 Intraoperative Graft Antibiotics -- 10.7 Intraoperative Autograft Contamination -- 10.8 Conclusion -- Index -- Additional MedOne Access Information.
Record Nr. UNINA-9910795364403321
Brause MD, Barry D  
New York, New York : , : Thieme Medical Publishers, Inc., , [2021]
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Management of Orthopaedic Infections : A Practical Guide / / by: Chen, Antonia F.
Management of Orthopaedic Infections : A Practical Guide / / by: Chen, Antonia F.
Autore Brause MD, Barry D
Pubbl/distr/stampa New York, New York : , : Thieme Medical Publishers, Inc., , [2021]
Descrizione fisica 1 online resource (194 pages)
Disciplina 618.927
Soggetto topico Bone diseases
ISBN 1-63853-668-6
1-68420-370-8
1-68420-134-9
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Intro -- MedOne Access Information -- Title -- Copyright -- Dedication -- Contents -- 1 Detection of Microbes in Orthopaedic Infections -- 1.1 Introduction -- 1.2 Culture-Based Microbiology -- 1.2.1 Limitations of Culture-Based Microbiology -- 1.2.2 Detection of Microbes in Biofilm -- 1.2.3 Infections with Atypical Organisms -- 1.2.4 Orthopaedic Hardware Infections -- 1.2.5 Native Bone and Joint Infections -- 1.3 Molecular Techniques -- 1.3.1 Polymerase Chain Reaction (PCR) -- 1.3.2 Next-Generation Sequencing (NGS) -- 1.4 Conclusions -- 2 Antibiotics for Orthopaedic Infections -- 2.1 Systemic Antibiotics -- 2.1.1 Definitions -- 2.1.2 Antibiotic Selection and Administration -- 2.1.3 Intravenous versus Oral Antibiotics -- 2.2 Antiseptics -- 2.2.1 Povidone-Iodine -- 2.2.2 Chlorhexidine (Gluconate/Digluconate) -- 2.3 Carriers that may be Associated with Antibiotics -- 2.3.1 Nondegradable -- 2.3.2 Biodegradable -- 2.4 Antibiotics for Use in Carriers -- 2.4.1 Gentamicin/Tobramycin -- 2.4.2 Vancomycin -- 2.5 Topical Antibiotics -- 2.6 Treatment Failure -- 2.7 Collaboration between Orthopaedic Surgeons and Infectious Disease Specialists -- 2.8 Conclusion -- 3 Irrigation Solutions for Orthopaedic Infections -- 3.1 Acetic Acid -- 3.1.1 Overview of Antiseptic Agents -- 3.1.2 Efficacy as Surgical Wound Irrigant -- 3.2 Bacitracin and Polymyxin -- 3.2.1 Overview of Antiseptic Agent -- 3.2.2 Efficacy as a Surgical Wound Irrigant -- 3.3 Dilute Povidone-Iodine (PI) -- 3.3.1 Overview of Antiseptic Agent -- 3.3.2 Efficacy as a Surgical Wound Irrigant -- 3.4 Chlorhexidine -- 3.4.1 Overview of Antiseptic Agent -- 3.4.2 Efficacy as a Surgical Wound Irrigant -- 3.5 Sodium Hypochlorite (NaOCl) -- 3.5.1 Overview of Antiseptic Agent -- 3.5.2 Efficacy as a Surgical Wound Irrigant -- 3.6 Hydrogen Peroxide -- 3.6.1 Overview of Antiseptic Agent.
3.6.2 Efficacy as a Surgical Wound Irrigant -- 3.7 Conclusion -- 4 Surgical Wound Dressings after Treating Orthopaedic Infections -- 4.1 Introduction -- 4.2 Characteristics of Optimal Surgical Dressings -- 4.3 Dressing Types -- 4.3.1 Nonocclusive and Occlusive Dressings -- 4.3.2 Dressing Application Tips and Tricks -- 4.3.3 Wound Vacuum Systems -- 4.4 Algorithm for Surgical Dressing Selection -- 4.5 Conclusion -- 5 Osteomyelitis -- 5.1 Introduction -- 5.2 Terminology -- 5.3 Classification -- 5.3.1 Type 1 (Medullary) -- 5.3.2 Type 2 (Superficial) -- 5.3.3 Type 3 (Localized) -- 5.3.4 Type 4 (Diffuse) -- 5.4 Diagnosis -- 5.4.1 Clinical Features -- 5.4.2 Laboratory Tests -- 5.4.3 Imaging -- 5.4.4 Microbiological Diagnosis -- 5.4.5 Histological Diagnosis -- 5.5 Diagnostic Criteria -- 5.6 Microbiology -- 5.7 Treatment of Osteomyelitis -- 5.7.1 General Considerations -- 5.7.2 Acute Osteomyelitis -- 5.7.3 Chronic Osteomyelitis -- 5.7.4 Operative Treatment -- 5.7.5 Tissue Sampling -- 5.7.6 Tissue Excision -- 5.7.7 Antimicrobial Therapy -- 5.7.8 Dead Space Management -- 5.7.9 Bone Stabilization -- 5.7.10 Soft-Tissue Coverage -- 5.7.11 Staging of Surgery -- 5.8 Conclusion -- 6 Treatment of the Septic Native Joint -- 6.1 Introduction -- 6.2 Diagnosis -- 6.2.1 Risk Factors -- 6.2.2 Joint Involvement -- 6.2.3 Clinical Manifestations -- 6.2.4 Serum Evaluation -- 6.2.5 Synovial Analysis -- 6.2.6 Imaging -- 6.3 Treatment -- 6.3.1 Common Organisms -- 6.3.2 Gonococcal Arthritis -- 6.3.3 Other Pathogens -- 6.3.4 Antimicrobial Therapy -- 6.3.5 Surgical Treatment -- 6.3.6 Needle Aspiration -- 6.3.7 Arthroscopic Treatment -- 6.3.8 Open Treatment -- 6.4 Conclusion -- 7 Management of Periprosthetic Joint Infection -- 7.1 Introduction -- 7.2 Chronicity of Infection -- 7.3 Antibiotic Management Alone -- 7.4 Irrigation and Debridement.
7.4.1 Irrigation and Debridement without Polyethylene Exchange -- 7.5 DAIR -- 7.6 One-Stage Exchange Arthroplasty -- 7.6.1 Preparation -- 7.6.2 Debridement -- 7.6.3 Temporary Closure -- 7.6.4 New Prosthesis Implantation -- 7.6.5 Outcomes of One-Stage Exchange Arthroplasty -- 7.7 Two-Stage Exchange Arthroplasty -- 7.7.1 First Stage: Debridement and Antibiotic Spacer Implantation -- 7.7.2 Second Stage: Reimplantation -- 7.7.3 Outcomes of Two-Stage Exchange Arthroplasty -- 7.8 Salvage Procedures for PJI -- 7.9 Conclusion -- 8 Infection after Fracture Fixation and Infected Nonunions -- 8.1 Antibiotic Prophylaxis for Open Fractures -- 8.2 Diagnosis -- 8.2.1 Clinical Diagnosis -- 8.2.2 Laboratory Tests -- 8.3 Imaging -- 8.3.1 Radiography -- 8.3.2 Computed Tomography -- 8.3.3 Magnetic Resonance Imaging -- 8.3.4 Nuclear Medicine Studies -- 8.4 Microbiology -- 8.4.1 Cultures -- 8.4.2 Common Organisms -- 8.5 Surgical Treatment -- 8.5.1 Irrigation Solutions -- 8.5.2 Pin Tract Infections -- 8.5.3 Irrigation and Debridement with Hardware Retention -- 8.5.4 Irrigation and Debridement with Hardware Removal -- 8.5.5 Irrigation and Debridement and Revision Fracture Surgery-One-Stage -- 8.5.6 Irrigation and Debridement with Hardware Removal and Antibiotic Spacer Placement-Two-Stage -- 8.6 Soft-Tissue Coverage -- 8.7 Antibiotics -- 8.8 Conclusion -- 9 Spine Infections -- 9.1 Spinal Epidural Abscesses -- 9.1.1 Introduction and Epidemiology -- 9.1.2 Anatomy and Pathogenesis -- 9.1.3 Presentation and Diagnosis -- 9.1.4 Management and Surgical Decision-Making -- 9.1.5 Prognosis -- 9.2 Vertebral Osteomyelitis and Diskitis -- 9.2.1 Introduction and Epidemiology -- 9.2.2 Anatomy and Pathogenesis -- 9.2.3 Presentation and Diagnosis -- 9.2.4 Management and Surgical Decision-Making -- 9.2.5 Prognosis -- 9.3 Conclusion -- 10 Graft Infections -- 10.1 Introduction.
10.2 Risk Factors for Graft Infection -- 10.2.1 The Effect of Graft Type on Rates of Postoperative Infection -- 10.3 Clinical Presentation and Management -- 10.3.1 Clinical Presentation -- 10.3.2 Laboratory Evaluation -- 10.3.3 Surgical Site Infection versus Intra-articular Graft Infection -- 10.3.4 Organisms Responsible for Graft Infection -- 10.4 Management of Graft Infection -- 10.4.1 Nonsurgical Management -- 10.4.2 Surgical Management of Graft Infection -- 10.4.3 Graft Retention -- 10.4.4 Hardware Retention -- 10.4.5 Graft Replantation -- 10.4.6 Antibiotic Management -- 10.5 Outcomes and Complications -- 10.5.1 Recurrent Instability and Reoperation -- 10.5.2 Patient Reported Outcomes Following Graft Infection -- 10.5.3 Graft Infection Cost -- 10.6 Graft Infection Prevention -- 10.6.1 Intraoperative Graft Antibiotics -- 10.7 Intraoperative Autograft Contamination -- 10.8 Conclusion -- Index -- Additional MedOne Access Information.
Record Nr. UNINA-9910820348003321
Brause MD, Barry D  
New York, New York : , : Thieme Medical Publishers, Inc., , [2021]
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui