Erratum to: J Headache Pain (2006) 7:47–50 DOI 10.1007/s10194-006-0269-3Unfortunately the name of... more Erratum to: J Headache Pain (2006) 7:47–50 DOI 10.1007/s10194-006-0269-3Unfortunately the name of one of the authors was rendered incorrectly. Instead of “Zeynep Y. Firat”, it should have been Yezdan Firat, as now shown here.
Introduction The treatment of infected total knee arthroplasty (TKA) is controversial and various... more Introduction The treatment of infected total knee arthroplasty (TKA) is controversial and various. Two-stage prolonged reimplantation and 6-week systemic antibiotics use have been a gold standard of treatment in recent years. Patients Seventeen knees of 17 patients, who underwent primary TKA and subsequently developed infections, were implanted articulating antibiotic-loaded cement spacer through two-stage reimplantation. In the postoperative period, parenteral antibiotic treatment targeting the specific microorganism detected in each patient was started and continued with oral administration. The mean total (parenteral and oral) antibiotic treatment time was 6.8 weeks (6–10). The spacer remained in its location until complete soft tissue recovery and normal values for laboratory parameters were achieved. The mean time interval between spacer implantation and reimplantation was 4.2 months (3–6). Results In the last follow-up examinations of the patients, conditions requiring reoperation were detected in 3 patients (17.6%). In 2 of these patients (11.7%), infection developed after a mean 1-year interval. The joint motion ranges of the patients were measured in the preoperative period, during spacer use, and following reimplantation. The mean joint motion range of the patients was 58º (12–90) in the preoperative period; in the presence of spacer between the two stages, 69º (15–100); and in the last follow-up examination after reimplantation, 95º (10–120). Conclusion Use of articulating cement spacer in the treatment of infected TKA is efficient and reliable.
History and Physical ExaminationA 43-year-old man complaining of right anterior leg pain presente... more History and Physical ExaminationA 43-year-old man complaining of right anterior leg pain presented with swelling, minimal redness, and a decrease in hair at the affected site. The pain had been present for 1 year, although he first recognized the swelling 4 months before presentation. There was no history of trauma to the limb.Physical examination revealed hair loss on the skin over the affected site. The skin was thin and atrophic. There was minimal tenderness at the anterior aspect of the leg. Compared with the contralateral side, the affected leg had an increased circumference of 8 cm, 10 cm below the tibial tuberosity. Serum alkaline phosphatase levels were mildly elevated. Serum calcium and phosphate levels were normal.Radiography (Fig. 1), computed tomography (CT) (Fig. 2), and MRI (Fig. 3) were performed. To exclude metastatic involvement, chest and abdominal CT scans were performed, all of which were interpreted as normal. Fig. 1A radiograph of the right leg shows irregular cor ...
Erratum to: J Headache Pain (2006) 7:47–50 DOI 10.1007/s10194-006-0269-3Unfortunately the name of... more Erratum to: J Headache Pain (2006) 7:47–50 DOI 10.1007/s10194-006-0269-3Unfortunately the name of one of the authors was rendered incorrectly. Instead of “Zeynep Y. Firat”, it should have been Yezdan Firat, as now shown here.
Introduction The treatment of infected total knee arthroplasty (TKA) is controversial and various... more Introduction The treatment of infected total knee arthroplasty (TKA) is controversial and various. Two-stage prolonged reimplantation and 6-week systemic antibiotics use have been a gold standard of treatment in recent years. Patients Seventeen knees of 17 patients, who underwent primary TKA and subsequently developed infections, were implanted articulating antibiotic-loaded cement spacer through two-stage reimplantation. In the postoperative period, parenteral antibiotic treatment targeting the specific microorganism detected in each patient was started and continued with oral administration. The mean total (parenteral and oral) antibiotic treatment time was 6.8 weeks (6–10). The spacer remained in its location until complete soft tissue recovery and normal values for laboratory parameters were achieved. The mean time interval between spacer implantation and reimplantation was 4.2 months (3–6). Results In the last follow-up examinations of the patients, conditions requiring reoperation were detected in 3 patients (17.6%). In 2 of these patients (11.7%), infection developed after a mean 1-year interval. The joint motion ranges of the patients were measured in the preoperative period, during spacer use, and following reimplantation. The mean joint motion range of the patients was 58º (12–90) in the preoperative period; in the presence of spacer between the two stages, 69º (15–100); and in the last follow-up examination after reimplantation, 95º (10–120). Conclusion Use of articulating cement spacer in the treatment of infected TKA is efficient and reliable.
History and Physical ExaminationA 43-year-old man complaining of right anterior leg pain presente... more History and Physical ExaminationA 43-year-old man complaining of right anterior leg pain presented with swelling, minimal redness, and a decrease in hair at the affected site. The pain had been present for 1 year, although he first recognized the swelling 4 months before presentation. There was no history of trauma to the limb.Physical examination revealed hair loss on the skin over the affected site. The skin was thin and atrophic. There was minimal tenderness at the anterior aspect of the leg. Compared with the contralateral side, the affected leg had an increased circumference of 8 cm, 10 cm below the tibial tuberosity. Serum alkaline phosphatase levels were mildly elevated. Serum calcium and phosphate levels were normal.Radiography (Fig. 1), computed tomography (CT) (Fig. 2), and MRI (Fig. 3) were performed. To exclude metastatic involvement, chest and abdominal CT scans were performed, all of which were interpreted as normal. Fig. 1A radiograph of the right leg shows irregular cor ...
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