Antibiotic Cement in Total Knee Replacement Always Use It COA

Description: Total knee arthroplasty (TKA) has clearly revolutionized the management of the arthritic knee patient and has a tremendous track record of success. One of the most devastating complications following a TKA remains the development of an infection. While estimates vary, the prevalence of peri-prosthetic infection is estimated at approximately 2% following primary TKA and close to 4% following revision TKA. The role for preoperative systemic antibiotics is well established; however, the routine use of antibiotic impregnated bone cement remains controversial.
Steven J.M. MacDonald, M.D., FRCSC COA Bulletin Issue 2008