Volume 2, Issue 2, Pages (June 2016)

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Volume 2, Issue 2, Pages 69-76 (June 2016) Total joint arthroplasty in patients with chronic infectious liver disease Jeremy N. Truntzer, MD, Kalpit N. Shah, MD, Derek R. Jenkins, MD, Lee E. Rubin, MD Arthroplasty Today Volume 2, Issue 2, Pages 69-76 (June 2016) DOI: 10.1016/j.artd.2015.07.001 Copyright © 2016 Terms and Conditions

Figure 1 Pre-operative radiographs at initial presentation demonstrating prior left TKA. Arthroplasty Today 2016 2, 69-76DOI: (10.1016/j.artd.2015.07.001) Copyright © 2016 Terms and Conditions

Figure 2 Tc-99m MDP three-phase bone scan. Study demonstrated mildly increased flow to the left knee. On the tissue phase, there was increased activity surrounding both sides of the left knee joint, more prominent on the femoral side. On delayed imaging, there was diffuse, marked increased uptake on both sides of the left knee joint suggestive of prosthesis infection. Arthroplasty Today 2016 2, 69-76DOI: (10.1016/j.artd.2015.07.001) Copyright © 2016 Terms and Conditions

Figure 3 Indium WBC scan. Study demonstrated focus of mild increased white blood cell uptake located at the medial femoral component of the left total knee arthroplasty without concordant uptake on the bone marrow scan. This was found to correspond with the site of the most prominent increased uptake on the 3-phase bone scan consistent for prosthesis infection. Arthroplasty Today 2016 2, 69-76DOI: (10.1016/j.artd.2015.07.001) Copyright © 2016 Terms and Conditions

Figure 4 Post-operative left TKA revision radiographs. Arthroplasty Today 2016 2, 69-76DOI: (10.1016/j.artd.2015.07.001) Copyright © 2016 Terms and Conditions

Figure 5 Model for End Stage Liver Disease (MELD) score [43]. Arthroplasty Today 2016 2, 69-76DOI: (10.1016/j.artd.2015.07.001) Copyright © 2016 Terms and Conditions