Skip to main content
SpringerLink
Log in

19 Periprosthetic Joint Infection After TKR

  • Chapter
Book cover The Unhappy Total Knee Replacement

  • 2722 Accesses

Abstract

This chapter deals with the incidence and etiology of periprosthetic joint infections after total knee arthroplasty. In addition, risk factors and most common organisms are reported.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bozic KJ, Ries MD. The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization. J Bone Joint Surg Am. 2005;87(8):1746–51.

    Article  PubMed  Google Scholar 

  2. Jamsen E, Huhtala H, Puolakka T, Moilanen T. Risk factors for infection after knee arthroplasty: a register-based analysis of 43,149 cases. J Bone Joint Surg Am. 2009;91(1):38–47.

    Article  PubMed  Google Scholar 

  3. Phillips JE, Crane TP, Noy M, Elliott TS, Grimer RJ. The incidence of deep prosthetic infections in a specialist orthopaedic hospital. A 15-year prospective survey. J Bone Joint Surg Br. 2006;88(7):943–8.

    Article  CAS  PubMed  Google Scholar 

  4. Suarez J, Griffin W, Springer B, Fehring T, Mason JB, Odum S. Why do revision knee arthroplasties fail? J Arthroplasty. 2008;23(6):99–103.

    Article  PubMed  Google Scholar 

  5. Mauerhan DR, Nelson CL, Smith DL, Fitzgerald Jr RH, Slama TG, Petty RW, Jones RE, Evans RP. Prophylaxis against infection in total joint arthroplasty. One day of cefuroxime compared with three days of cefazolin. J Bone Joint Surg Am. 1994;76(1):39–45.

    CAS  PubMed  Google Scholar 

  6. Lidwell OM. Clean air at operation and subsequent sepsis in the joint. Clin Orthop Relat Res. 1986;211:91–102.

    PubMed  Google Scholar 

  7. Smith RC, Mooar PA, Cooke T, Sherk HH. Contamination of operating room personnel during total arthroplasty. Clin Orthop Relat Res. 1991;271:9–11.

    PubMed  Google Scholar 

  8. Johnson DP, Bannister GC. The outcome of infected arthroplasty of the knee. J Bone Joint Surg Br. 1986;68(2):289–91.

    CAS  PubMed  Google Scholar 

  9. Segawa H, Tsukayama DT, Kyle RF, Becker DA, Gustilo RB. Infection after total knee arthroplasty. A retrospective study of the treatment of eighty-one infections. J Bone Joint Surg Am. 1999;81(10):1434–45.

    CAS  PubMed  Google Scholar 

  10. Wilson MG, Kelley K, Thornhill TS. Infection as a complication of total knee-replacement arthroplasty. Risk factors and treatment in sixty-seven cases. J Bone Joint Surg Am. 1990;72(6):878–83.

    CAS  PubMed  Google Scholar 

  11. Dowsey MM, Choong PF. Obese diabetic patients are at substantial risk for deep infection after primary TKA. Clin Orthop Relat Res. 2009;467(6):1577–81.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Minnema B, Vearncombe M, Augustin A, Gollish J, Simor AE. Risk factors for surgical-site infection following primary total knee arthroplasty. Infect Control Hosp Epidemiol. 2004;25(6):477–80.

    Article  PubMed  Google Scholar 

  13. Peersman G, Laskin R, Davis J, Peterson M. Infection in total knee replacement: a retrospective review of 6489 total knee replacements. Clin Orthop Relat Res. 2001;392:15–23.

    Article  PubMed  Google Scholar 

  14. Pulido L, Ghanem E, Joshi A, Purtill JJ, Parvizi J. Periprosthetic joint infection: the incidence, timing, and predisposing factors. Clin Orthop Relat Res. 2008;466(7):1710–5.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Fehring TK, Griffin WL. Revision of failed cementless total knee implants with cement. Clin Orthop Relat Res. 1998;356:34–8.

    Article  PubMed  Google Scholar 

  16. Friedman RJ, Hirst P, Poss R, Kelley K, Sledge CB. Results of revision total knee arthroplasty performed for aseptic loosening. Clin Orthop Relat Res. 1990;255:235–41.

    PubMed  Google Scholar 

  17. Goldberg VM, Figgie MP, Figgie 3rd HE, Sobel M. The results of revision total knee arthroplasty. Clin Orthop Relat Res. 1988;226:86–92.

    PubMed  Google Scholar 

  18. Jacobs MA, Hungerford DS, Krackow KA, Lennox DW. Revision total knee arthroplasty for aseptic failure. Clin Orthop Relat Res. 1988;226:78–85.

    PubMed  Google Scholar 

  19. Sheng PY, Jamsen E, Lehto M, Pajamaki J, Halonen P, Konttinen YT. Revision total knee arthroplasty with the total condylar III system: a comparative analysis of 71 consecutive cases of osteoarthritis or inflammatory arthritis. Acta Orthop. 2006;77(3):512–8.

    Article  PubMed  Google Scholar 

  20. Sierra RJ, Cooney WPT, Pagnano MW, Trousdale RT, Rand JA. Reoperations after 3200 revision TKAs: rates, etiology, and lessons learned. Clin Orthop Relat Res. 2004;425:200–6.

    Article  PubMed  Google Scholar 

  21. Stuart MJ, Larson JE, Morrey BF. Reoperation after condylar revision total knee arthroplasty. Clin Orthop Relat Res. 1993;286:168–73.

    PubMed  Google Scholar 

  22. Chiu FY, Lin CF, Chen CM, Lo WH, Chaung TY. Cefuroxime-impregnated cement at primary total knee arthroplasty in diabetes mellitus. A prospective, randomized study. J Bone Joint Surg Br. 2001;83(5):691–5.

    Article  CAS  PubMed  Google Scholar 

  23. Yang K, Yeo SJ, Lee BP, Lo NN. Total knee arthroplasty in diabetic patients. J Arthroplasty. 2001;16(1):102–6.

    Article  CAS  PubMed  Google Scholar 

  24. Namba RS, Paxton L, Fithian DC, Stone ML. Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty. 2005;20(7):46–50.

    Article  PubMed  Google Scholar 

  25. Gaston G, Ogden J. Candida glabrata periprosthetic infection. A case report and literature review. J Arthroplasty. 2004;19(7):927–30.

    Article  PubMed  Google Scholar 

  26. Mittal Y, Fehring TK, Hanssen A, Marculescu C, Odum SM, Osmon D. Two-stage reimplantation for periprosthetic knee infection involving resistant organisms. J Bone Joint Surg Am. 2007;89(6):1227–31.

    Article  PubMed  Google Scholar 

  27. Parvizi J, Azzam K, Ghanem E, Austin MS, Rothman RH. Periprosthetic infection due to resistant staphylococci: serious problem in horizon. Clin Orthop Relat Res. 2009;467(7):1732–9.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Tsukayama DT, Estrada R, Gustilo RB. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg Am. 1996;78(4):512–23.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Adult Reconstruction, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA

    Javad Parvizi MD, FRCS (Prof.)

Authors
  1. Javad Parvizi MD, FRCS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Javad Parvizi MD, FRCS .

Editor information

Editors and Affiliations

  1. Dept. Orthopaedic Surgery & Traumatology, Knee Surgery Unit, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland

    Michael T. Hirschmann

  2. Dept. Orthopaedics & Traumatology, Hospital Brandenburg, Brandenburg/Havel, Germany

    Roland Becker

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Parvizi, J. (2015). 19 Periprosthetic Joint Infection After TKR. In: Hirschmann, M., Becker, R. (eds) The Unhappy Total Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-08099-4_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-08099-4_24

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08098-7

  • Online ISBN: 978-3-319-08099-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation