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infection Archives | Orthoped

Infection after total knee replacement

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Diseases of the knee joint

Contents:

The diseases that most frequently lead to the total knee surgery are:

  • Osteoarthritis (primary and following after knee damages) = ca 80%
  • Rheumatoid arthritis = ca 15%
  • Conditions after fractures of the knee joint= ca 4%

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Identification of bacteria

How do the bacteriologists decide which bacteria is causing the postoperative wound infection?

In about 130 years the bacteriologists used the relatively simple method to smear the pus or the swabs from the wound on to special substrate. The substrate is either fast, gelatin-like substance agar mixed with blood; or liquid, a kind of nutritious soup in a bottle.

Pus containing Staphylococcus aureus bacteria was smeared on the surface of the blood-agar plate. The blood-agar plate is within a glass dish and is covered by another dish to prevent downfall of other bacteria from the air. The whole culture is grown for at least 2 days in a constant temperature (32-37 degrees Celsius). (more…)

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Antibiotic Treatment

The choice of antibiotic
The selection of the antibiotic for the treatment of the infection around the total joint depends on the sensitivity of the bacterial strain that caused the infection.
Unfortunately, often there is more than one bacterial strain found in the infected joint.
Moreover, in about 10 -20 per cent of all total joint infections, no bacteria grow in the sample taken from the infected joint, although there are other obvious signs of infection present. (more…)

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