The Infected Implant

Musculosketal infections are potentially devastating for the patient, his family and the health care services, as they may lead to functional impairment, long lasting disability, or even permanent handicap. This problem may also have socioeconomic implica

  • PDF / 2,426,773 Bytes
  • 141 Pages / 481.895 x 685.984 pts Page_size
  • 82 Downloads / 173 Views

DOWNLOAD

REPORT


Heino Kienapfel Klaus-Dieter Kühn (Eds.)

The Infected Implant With 98 Figures and 16 Tables

1 23

Prof. Dr. med. Heino Kienapfel

Dr. rer. nat. Klaus-Dieter Kühn

Vivantes Auguste - Viktoria - Klinik Dept. of Special Orthopeadic Surgery and Traumatology Centre of Joint Arthroplasty Rubensstr. 125 12157 Berlin Germany

Heraeus Medical GmbH Philipp-Reis Str. 8/13 61273 Wehrheim Germany

This book and the basic Symposium in Potsdam, November 21–22, 2008 have been sponsored by Heraeus Medical GmbH, Wehrheim. Cover image: Scanning electron micrograph of Staphylococcus aureus biofilm adhered to a metal implant surface. Taken by Dr Llinos G Harris, Medical Microbiology, Institute of Life Science, School of Medicine, Swansea University, Swansea, SA2 8PP, Wales, UK.

ISBN 978-3-540-92835-5 Springer Medizin Verlag Heidelberg Bibliografische Information der Deutschen Bibliothek The Deutsche Bibliothek lists this publication in Deutsche Nationalbibliographie; detailed bibliographic data is available in the internet at http://dnb.ddb.de. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable to prosecution under the German Copyright Law. Springer Medizin Verlag springer.com © Springer Medizin Verlag Heidelberg 2009 The use of general descriptive names, registered names, trademarks, etc. in this publications does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature.

Planning: Hanna Hensler-Fritton, Heidelberg Projectmanagement: Diana Kraplow, Heidelberg Copy-Editing: Hilger Verlagservice, Heidelberg Design: deblik Berlin Typesetting: TypoStudio Tobias Schaedla, Heidelberg Printer: Stürtz GmbH, Würzburg SPIN: 12586806 Printed on acid free paper

18/5135/DK – 5 4 3 2 1 0

V

Foreword Infections following joint arthroplasty are a severe complication for each patient with a negative impact on their quality of life. Infections are also a challenge for the surgeons, microbiologists and hospitals involved. Finally, due to their financial impact infections will increasingly be monitored and controlled, as they have a direct influence on how hospitals will be reimbursed; as such, preventing infections has been identified as a source of cost reduction. Furthermore, the issue of infection needs to be a stand