Orthopedic Hardware Infections

Infections secondary to orthopedic hardware devices have become common problems with the increasing incidence of hip, knee, and shoulder replacement surgeries. Also, patients with traumatic injury resulting in a fracture often have hardware implanted to stabilize the bone. These patients present in one of the three following ways:

1. Early: Symptoms develop less than 3 months after surgery and have an acute presentation with pain, erythema, and warmth, usually caused by S. aureus and gram-negative bacilli.

2. Delayed: Symptoms develop 3 to 24 months after surgery, generally with subtle signs of infection, including implant loosening and persistent pain, and usually caused by less virulent organisms such as coagulase-negative staphylococci and Propionibacterium acnes.

3. Late: Symptoms develop 24 months after surgery and are usually caused by hematogenous seeding from skin, dental, respiratory, and urinary infections.

Treatment requires debridement of the surrounding tissue and hardware removal, although this cannot always be done in patients with bone instability. It is recommended that treatment of these infections be done in conjunction with an infectious diseases specialist working with the orthopedic surgeon.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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