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Selected Instructional Course Lecture   |    
Management of Infection at the Site of a Total Knee Arthroplasty
James M. Leone, MD1; Arlen D. Hanssen, MD1
1 Department of Orthopaedics, Mayo Clinic and Mayo Foundation, 200 First Street S.W., Rochester, MN 55905. E-mail address for A.D. Hanssen: hanssen.arlen@mayo.edu
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2006 in Instructional Course Lectures, Volume 55. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Oct 01;87(10):2335-2348
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Extract

While infection after total knee arthroplasty is a relatively infrequent complication (with a rate of 1% to 2%)1, it can be devastating in terms of patient morbidity and institutional expenses. It has been determined that the cost of treating an infection around a knee replacement results in an estimated net loss of approximately $15,000, and this loss may be doubled for a Medicare patient2,3. The drop in infection rates over the years secondary to improved prevention efforts4 is overshadowed by the dramatic increase in the number of joint replacements being done annually in North America. In an effort to optimize patient care and reduce the overall burden to the health-care system, physicians must continue to improve strategies for treating infection in the presence of prosthetic components. Such strategies should focus on establishing a rapid and accurate diagnosis and developing clear and effective treatment algorithms that yield favorable long-term results according to clearly defined criteria.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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