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Periprosthetic Joint Infection After Hip and Knee Arthroplasty: A Review for Emergency Care Providers  Tyler A. Luthringer, BA, Yale A. Fillingham, MD,

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Presentation on theme: "Periprosthetic Joint Infection After Hip and Knee Arthroplasty: A Review for Emergency Care Providers  Tyler A. Luthringer, BA, Yale A. Fillingham, MD,"— Presentation transcript:

1 Periprosthetic Joint Infection After Hip and Knee Arthroplasty: A Review for Emergency Care Providers  Tyler A. Luthringer, BA, Yale A. Fillingham, MD, Kamil Okroj, BA, Edward J. Ward, MD, MPH, Craig Della Valle, MD  Annals of Emergency Medicine  Volume 68, Issue 3, Pages (September 2016) DOI: /j.annemergmed Copyright © 2016 American College of Emergency Physicians Terms and Conditions

2 Figure 1 Communicating sinus tract status post–total knee arthroplasty. Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

3 Figure 2 Risk factors for periprosthetic joint infection.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

4 Figure 3 Adaptation of the Musculoskeletal Infection Society definition of periprosthetic joint infection.19,20 Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

5 Figure 4 Highlights of the American Academy of Orthopedic Surgeons guidelines for management of periprosthetic joint infection.∗12,22 Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

6 Figure 5 A, Suggested materials for basic aspiration procedure. B, Palpation and marking of the superolateral corner of the patella. C, Preparation of the skin at the aspiration site. D, Aspiration of the knee joint through the superolateral portal. Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

7 Figure 6 Fluoroscopy-guided aspiration of a prosthetic hip joint.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

8 Figure 7 Plain anteroposterior radiograph of bilateral knee replacements and left-sided PJI. Bone resorption or osteolysis is evident on the left side underneath the tibial tray and at the medial portion of the femoral component. Right side is a normal comparison. Annals of Emergency Medicine  , DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions


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