taphylococcus aureus (S. aureus) is an independent risk factor for orthopaedic surgical site infection (SSI). To determine whether a preoperative decolonization protocol reduces S. aureus SSIs, we conducted a prospective observational study of patients undergoing elective total joint arthroplasty (TJA) at our institution, with two control groups. The concurrent control...

FOOT INFECTIONS What is an infection? An infection occurs when germs multiply and cause damage to tissue. Bacteria cause infections. In order for a foot infection to develop there has to be an opening for the germs or bacteria to get into the foot. In other words there needs to be... Expert

Mayo Clinic Bone and Joint Infections Overview Your bones and joints, like nearly every part of your body, can fall prey to infection. Joint infections (septic or infectious arthritis) can damage cartilage and tissue within days. Bone infections, osteomyelitis (os-te-o-mi-uh-LI-tis), may fester for years and become debilitating if untreated. Bacteria, viruses, fungi and other... Expert

We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nail or the...

OTA 2002 - Session 1 Session I - Combined Session (International Society for Fracture Repair) Fri., 10/11/02 Combined Session, Paper #3, 8:28 AM Intracellular Staphylococcus Aureus : A Proposed Mechanism for the Indolence of Osteomyelitis J. Kent Ellington, MS ; Mitchel B. Harris, MD; Lawrence X. Webb, MD; Beth P. Smith,...

Discussion:
- IM may be most reliable technique for achieving union;
- w/ TKR infection, IM fusion needs to be performed in a staged fasion with removal of components and control of infection before fusion is attempted;
- contra indications:
 - active infection:
   - presence of active infection because of risk of infection spreading...

Infection control is the protection of patients and health care workers by the prevention of infection in the health care setting in a cost-efficient manner.

Infected ischemic diabetic foot: one more attempt to improve microcirculation V.T.Krivikhin, R.M.Parhimovich, D.V.Krivikhin, O.S.Troitskaja District hospital, Vidnoje, Moscow Region and Moscow Regional Res.Clinical Institute Surgical revascularization is often impossible in ischemic diabetic foot (DF) because of dis-tal form of occlusions and comorbidity. The medication to improve microcirculation often does not work. Besides, restricted...

OTA Paper 2004: Risk of Local Infection?
We aimed to determine the rate of wound infection after use of DCO procedures and primary IMN for femoral fracture stabilization in severely injured patients.
Conclusion: The results of this study demonstrate that infection rates after DCO for femoral fractures are not significantly different than...

51 minute video - This activity was developed in collaboration with the Association for Professionals in Infection Control and Epidemiology, the Centers for Disease Control and Prevention, the Infectious Diseases Society of America, and the Society for Healthcare Epidemiology of America (SHEA), and was taped at the SHEA Fifth Decennial...

Questions/purposes We asked whether single-stage revision and direct antibiotic infusion for infected TKA would control infection in patients with methicillin-resistant Staphylococcus aureus (MRSA) infections.
Conclusions One-stage revision and 6 weeks of intraarticular vancomycin administration controlled infection in MRSA infected TKA with no apparent complications.
Methicillin-resistant Staphylococcus aureus in TKA Treated...

Standard, Appropriate, and Advanced Care and Medical-Legal Considerations: Part One -- Diabetic Foot Ulcerations from Wounds Posted 06/09/2003 Gerit Mulder, DPM, MS, David Armstrong, DPM, Susie Seaman, MSN, NP, CETN Abstract and Introduction Abstract Administration of prompt and appropriate care for diabetic foot ulcerations is necessary to reduce complications, which may lead to limb loss. An...

Hand ischemia in renal failure can be exacerbated by vascular steal effect distal to a dialysis fistula. In this patient, a trivial finger trauma led to a non healing wound which progressed to osteomyelitis deep to the wound. Infected open wounds involving the hands of dialysis patients usually require excision...

Comment on methodological weaknees of the article from Arch Surg. 2009;144:359-366 which has the following summary.
The authors carried out a meta-analysis based on 5 randomized controlled trials discovered after searching> 2000 reports. Of these 5 studies, 3 included only patients undergoing colorectal surgery. Oxygen concentration was 80% in the...

OTA 2002 - Session 1 Session I - Combined Session (International Society for Fracture Repair) Fri., 10/11/02 Combined Session, Paper #2, 8:22 AM *BMP-2 Coating of Titanium Implants Increases Biomechanical Strength and Accelerates Bone Remodeling in Fracture Treatment: A Biomechanical and Histological Study on Rats Gerhard Schmidmaier, MD ; Britt Wildemann,...

Flinders South Australian Orthopaedic Resitrars' Notebook Fracture Healing Unique in that there is reconstruction of the original tissue rather than healing with scar formation as in other tissues. McKibbin B JBJS (1978) (from Cardiff Royal Infermary) Stages of Fracture Healing: Inflammatory Stage: Fracture ® soft tissue injury and ruptured vessels Formation of Fracture haematoma Osteocytes deprived of...

Salvage of Limb and Function in Necrotizing Fasciitis of the Hand: Role of Hyperbaric Oxygen Treatment and Free Muscle Flap Coverage
South Med J 95(2):255-257, 2002 James C. Yuen, MD, Zuliang Feng, MD Division of Plastic Surgery, Department of Surgery, University of Arkansas
Abstract We report a case of necrotizing fasciitis of the hand...

Improve your skills for treating routine and high energy complex fractures and learn how to avoid complications. Lectures, case discussions, and hands-on cadaver labs explore various surgical treatment options for intraarticular and long-bone fractures, as well as locked and non-locked plating techniques. Discussions address alternative treatment and rehabilitation techniques for...

OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #65, 10:29 AM A Randomized Controlled Trial of Closed Reduction and Casting versus Closed Reduction and External Fixation for Distal Radius Fractures with Metaphyseal Displacement but Without Joint Incongruity Hans J. Kreder, MD, FRCS(C) ; Douglas...