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    FEATURED SURGERY: Revision Total Knee Arthroplasty for Infection

    In a pre-recorded surgery shown to attendees at the Winter Hip & Knee Course, Arlen D. Hanssen, MD, from Mayo Clinic, Rochester, Minnesota, performs a revision total knee arthroplasty (TKA) on a 70-year-old male patient with an infected knee.

    The patient’s primary TKA had been done at a different institution. When he presented to Dr. Hanssen’s clinic, he had highly elevated inflammatory markers: erythrocyte sedimentation rate (ESR) of 35 and C-reactive protein (CRP) level of 57.

    Three months prior to the reimplantation procedure shown in the video, the patient received an articulating antibiotic spacer. Cultures grew Staphyloccocus capitis and he was placed on intravenous cefazolin for 6 weeks.

    After a 6-week antibiotic holiday, his inflammatory markers had dropped to within normal limits – 4 for the ESR and <3 for the CRP – and the patient was scheduled for surgery.

    Dr. Hanssen’s colleague, Matthew P. Abdel, MD, served as moderator for the session. He was joined on the podium by 2 experienced revision TKA surgeons, Walter B. Beaver Jr., MD, and Bryan D. Springer, MD, both from OrthoCarolina, Charlotte, North Carolina, who discussed the procedure and fielded questions on their revision TKA techniques.

    Click the image above to watch the surgery.

    Disclosures

    Dr. Hanssen has disclosed that he receives royalties from Stryker. Dr. Abdel has disclosed that he is a paid consultant for Stryker. Dr. Beaver has disclosed that he receives research support from DePuy Synthes, DonJoy, and Pacira Pharmaceuticals, and that he receives royalties and research support from and is a paid consultant and a paid presenter or speaker for Stryker. Dr. Springer has disclosed that he is a paid presenter or speaker for CeramTec, that he is a paid consultant for ConvaTec and OsteoRemedies, that he receives financial or material support from Joint Purification Systems, and that he receives royalties and is a paid consultant for Stryker.