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Selected Instructional Course Lecture   |    
Infection Following Total Knee ArthroplastyPrevention and Management
Kevin L. Garvin, MD1; Beau S. Konigsberg, MD1
1 University of Nebraska Medical Center, 981080 Nebraska Medical Center, Omaha, NE 68198-1080. E-mail address for K.L. Garvin: kgarvin@unmc.edu. E-mail address for B.S. Konigsberg: bkonigsb@unmc.edu
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Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by the authors of this work are available with the online version of this article at jbjs.org.

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An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
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 2012 in Instructional Course Lectures, Volume 61. 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).

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Jun 15;93(12):1167-1175
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Extract

Periprosthetic joint infection is one of the most formidable challenges for arthroplasty surgeons. Physicians and scientists have worked diligently to lower the incidence of infections around prosthetic joints, but the percentage of patients who develop an infection after primary total knee replacement remains in the range of 0.4% to 2%1-3. Medicare data indicate that the rate of periprosthetic infection within the first two years after knee arthroplasty is 1.55%. The infection rate in the following two to ten years is an additional 0.46%4,5.
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    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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