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Preventing Infection in Total Joint Arthroplasty
Wadih Y. Matar, MD, MSc, FRCSC1; S. Mehdi Jafari, MD2; Camilo Restrepo, MD2; Matthew Austin, MD2; James J. Purtill, MD2; Javad Parvizi, MD, FRCS2
1 Division of Orthopaedic Surgery, Department of Surgery, CSSS Gatineau-Hull Hospital, 116 Lionel-Émond Boulevard, Gatineau, QC J8Y 1W7, Canada
2 Rothman Institute of Orthopedics at Jefferson, 925 Chestnut Street, 2nd Floor, Philadelphia PA 19107. E-mail address for J. Parvizi: parvj@aol.com
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from commercial entities (Stryker Orthopaedics and SmarTech).

Copyright © 2010 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Dec 01;92(Supplement 2):36-46. doi: 10.2106/JBJS.J.01046
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Recent projections have forecast that by the year 2030 the number of primary total knee arthroplasty procedures will increase to 3.48 million, an increase of 673% compared with 2005, and the number of primary total hip arthroplasties will increase by 174% to 572,000, with the expectant result being that over 4 million primary total joint arthroplasties will be performed in the United Stated annually1. Similarly, the number of arthroplasty revision procedures is projected to increase correspondingly. Periprosthetic joint infection is a devastating complication and is one of the leading causes of morbidity following total joint arthroplasty, with a mortality rate ranging between 2.7% and 18%2-10. The average rate of periprosthetic joint infection within two years after primary hip or knee replacement is between 0.25% and 2.0%3,7,11-15. Hence, a tremendous psychological and financial burden is placed on the patient and the health-care system, with the cost of treatment of each episode of periprosthetic joint infection estimated to be three to four times the cost of a primary total joint arthroplasty7,8,10.
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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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