جستجوی مقالات مرتبط با کلیدواژه « total joint replacement » در نشریات گروه « پزشکی »

Since the outbreak of the novel coronavirus disease-2019 (COVID-19) pandemics many orthopedic elective surgeries have been postponed all over the world. There are several guidelines for resuming elective surgeries during this crisis. In our center (Imam Khomeini hospital, Tehran, Iran), we resumed total joint arthroplasty (TJAs)surgeries using preoperative history taking and physical examination. Here, we report our experience.

From February 2020 to August 2020, we included 165 patients who underwent TJA [70 total hip arthroplasty (THA)and 95 total knee arthroplasty (TKA)] in Imam Khomeini hospital, a referral center for COVID-19.We followed each patient from the day of hospitalization to two weeks after discharge by telephone forclinical symptoms of COVID-19.

Only one patient became infected with COVID-19 a week after discharge from the hospital, and other patients did not show any sign or symptoms within two weeks after the discharge.

We recommend resuming the elective surgeries usinga careful physical examination and medical history for all patients, and in suspicious cases, referring to a specialized COVID-19 clinic for further investigation.

Two stage total hip arthroplasty revision surgery includes foreign material debridment, insertion of antibiotic impregnatedcement spacer, and finally, reimplantation of the prosthesis. This review has aimed to evaluate the efficacy of antibioticimpregnated cement spacers in infection control and eradication in arthroplasties.A total of 85 articles on total hip arthroplasty were used in this narrative literature review.High concentrations of the antibiotic in targeted drug delivery by means of using antibiotic impregnated cementspacers is effective against infections while reduces the side effects of systemic antibiotic therapy. This results inprevention of bone and muscle atrophy as well as size discrepancy. Also, antibiotic impregnated cement spacersreduce dead space and help stabilize the limb in total hip arthroplasty. Despite all reported drawbacks, antibioticimpregnated cement spacers seem effective in eradicationg infections, although a consensus has not been yetachieved.Level of evidence: I

oint replacement is currently on the rise with a high community burden. A registry was designed to evaluate the costs, possible complications, and rate of revisions as well as finding the most effective techniques, risk factors associated with poor results, indications for revision surgeries, and also demographic evaluation of patients undergoing joint replacement surgery in Iran.