Infected Arthroplasty Conundrum

Description

The session features a discussion led by a moderator accompanied by two esteemed orthopedic surgeons, Andrew Porteous and Rhydian Morgan Jones. The surgeons share their insights on muscular surgery, particularly focusing on complex knee replacements and infection management. Andrew, with a career rooted in South Africa, has extensive experience in knee surgery with fellowships in Australia and Bristol, now serving as president of BUSK, specializing in complicated tertiary revision knee services. He is an enthusiastic cricket fan and relates this passion to the importance of patient care discussions. Rhydian, who has mentored the moderator for over a decade, also has a strong background in knee surgery and manages a referral practice in Cardiff, emphasizing the significance of single-stage revisions in select cases.



The session dives into various clinical scenarios, discussing preventive strategies for postoperative issues such as leaky wounds, the proper management of infections, and approaches to decision-making in surgical interventions. Key takeaways include the importance of timely interventions, maintaining patient safety regarding infections, and effective debridement techniques.



They stress that both clinical history and examinations are essential in diagnosing infections, regardless of a potential culture-negative result. The discussion underlines the collaborations needed within surgical environments, drawing attention to the importance of having an organized approach, and the contributions from other medical personnel in managing cases effectively. The surgeons clarify their strategies for handling post-surgical complications and how they adhere to updated protocols in orthopedic care, particularly in revision surgery.

DOI: 10.1302/3114-221731

Specialties