The Infected Total Knee Arthroplasty Prevention, Diagnosis, and Trea
This book is structured in a way that guides the reader from prevention through to diagnosis and then treatment of infection following total knee arthroplasty, in each case providing state of the art information on available techniques and procedures. The
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The Infected Total Knee Arthroplasty Prevention, Diagnosis, and Treatment
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The Infected Total Knee Arthroplasty
E. Carlos Rodríguez-Merchán Sam Oussedik Editors
The Infected Total Knee Arthroplasty Prevention, Diagnosis, and Treatment
Editors E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery La Paz University Hospital Madrid Spain
Sam Oussedik University College London Hospitals London UK
ISBN 978-3-319-66729-4 ISBN 978-3-319-66730-0 (eBook) https://doi.org/10.1007/978-3-319-66730-0 Library of Congress Control Number: 2017959149 © Springer International Publishing AG 2018 This work is subject to copyright. All rights are reserved by the Publisher, 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 physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication 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. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Patients presenting for total knee arthroplasty (TKA) have one goal in mind— to return to “normal” knee function, however they choose to define this. Postoperative complications are understood to be a risk, but one worth taking for all patients who consent to undergo the procedure. The diagnosis of infection following TKA is devastating and represents the most cruel betrayal of this dream of normal knee function. Both patients and clinicians alike may experience the classical grief response, journeying from denial through anger and guilt to acceptance. Differentiating periprosthetic joint infection (PJI) from other causes of postoperative pain is the surgeon’s first challenge. Infection does not always declare itself overtly and so a knowledge of the latest diagnostic strategies is vital. From this diagnosis flows the appropriate treatment strategy. Here again, risk of failure must be navigated, both in terms of recurrent infection and poor knee function. Unfortunately, while offering the pos
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