Is There A Way To Reduce The Spread Of Joint Replacement?

Joint ReplacementAlthough there is a lot of attention, because the jacket design and advanced surgical techniques for outcomes for patients, obtained as the number of infected joint surgery, the risk of praise usually less orthopedic surgeon and hospital management of most concern, for repair. The main problem with this type of infection symptoms, a few days or weeks or even months, I was the strength of the problem is clear. By connecting time between surgery and infection, which may be vague, that the painting was not natural, and the operation itself is actually the reason, if the conclusion of the infection. What is clear is that, as medical science and technology to help surgeons in the works, is the possibility of injury during or after surgery, minimal, and almost always comes to human error.

Replace the current spread of about 1% or less. Correction method for this infection causes further loss of blood, and the process takes more time, more often in the number of complications and inpatient hospitalizations were high for a long time.

Can be reduced The University of Texas Health Sciences University in collaboration Rice University Center and Shriners Hospital for Children in the United States in order to develop applications for the transplantation of bone infection. The researchers examined by Katherine Ambrose, Ph.D., Associate Professor, Department of Orthopaedic Surgery at the UTHealth Medical School microscopic metal porous coated implants in 11 cases to be 100% effective in preventing infection out. Tissue and bone around the implant without glaze antibiotics, infection in 64% of the average case.

It quoted a press release from the University of Ambrose said microspheres appeared to some problems that current barriers to team medical personnel to resolve inflammation and bone osteomyelitis in the face. Microspheres are delivered directly to the surgical site, and the elimination of systemic antibiotics throughout the body. Ambrose suggests, “Because antibiotic delivery system is microscopic size, they do not interfere with the healing total joint replacement surgery occurs. These results indicate the possibility of microscopic antibiotics, recently in the Journal of Bone and Joint Surgery published.

According to the Australian National Joint Replacement Registry Total Knee Replacement 48 783 and 38 432 hip replacements in 2013, with an average bed costs more than 700 dollar per day in Australia, and even half of the health care system we distributed a significant impact. The development of antibiotic-coated seeds can be the difference to be here.

Treatment of Minor Injuries

injury careTimely treatment is essential variety of scrapes, cuts, lacerations. It is important to seek professional medical advice because if the wound is not treated properly, can make a person susceptible to various infections to be or to have long-lasting scars is very important. Accredited hospitals often provide a faster response, so you do not have time to wait outside the emergency room for medical care. After such a deep wound penetrated various injuries classified as cuts and abrasions, cuts or abrasions.

Abrasions, Cuts and Lacerations Difference

Where is the smallest of the three injured? It is not easy to penetrate the surface of the wound in the skin and scratching the skin and deeper than the skin. Bringing the deeper parts of it, and cause bleeding wound in violation of the rules. Significant reductions called severe injuries. There are several points to be considered are to keep the three:

  • Usually scrape wound can be cleaned at home, and let the healing treatment. Cutting home and injuries that require medical attention.
  • Applying the three cleaned and immediately to avoid antibiotics to treat the infection.
  • Employees must immediately go to prevent infection and scarring.


Not if you are injured and the first thing is to properly clean the wound. First clean all the sticky mud or dirt in the wound. Do not use soap on the wound, because the reaction can occur. If the wound is still bleeding, use a clean cloth to apply pressure on the wound to stop the bleeding. It is also advisable to keep the increase in the wound, and thus to prevent further bleeding.

Further Treatment

If you are suffering from cuts or abrasions, make sure that you see a doctor immediately. Even if the bleeding has stopped, you need a professional to clean the wound to get, so you do not suffer injury in the future. Thoroughly clean the clinic or hospital affected area, you can also use saline irrigation area, so there is no infection. Cut and large wounds, or must be sewn shut with glue or tape. Because it is important that this decision can only be taken by healthcare professionals, as long as people have been injured to get the authentication mechanism.

Night owls provide direct care of patients in emergency care, a clean and comfortable environment rich experience of medical professionals. The clinic employs 24/7 care for children and adults of all kinds of sprains, burns, fever quickly and efficiently so that you do not have to wait for hours in front of the emergency room.

The Ability to Reduce the Transmission Rate with Arthroplasty

Tranexamic acidPreoperative bleeding remains a major problem of the bones, especially in primary joint replacement. Not only that, there is a significant risk to the patient, but also cause additional costs.

Antifibrinolytic agents (inhibition of fibrin clot degradation agent) are used to reduce perioperative bleeding in other areas, such as cardiac and spinal surgery. Early research in orthopedic surgery did not significantly influence the overall conclusions. Discovered in 2006 meta-analysis that Tranexamic Acid (TXA) and connected with less postoperative transfer and determine the dose-dependent effect. After more than 2,000 patients suffering from rheumatoid reason retrospective study there was an increase recently in the level of symptoms of thromboembolic events when used for Deep Vein Thrombosis (DVT).

Tranexamic acid is widely used in knee arthroplasty, both current and intravenous injection. Blood transfusions and reported randomized, placebo-controlled study with a low transmission rate and high doses, but there is a need for larger studies to produce significant reductions.

Recently at the American Academy of Orthopaedic Surgeons annual meeting presentation documents in New Orleans, are some promising data, could lead to a blood transfusion rate.

Is Scott A. Wingerter, Ph.D., and this led to the adoption of primary or revision hip or knee arthroplasty in patients with the last meeting in March 2014. They found that “super acid transfer rates continue to reduce the increase in thromboembolic events following supporting start and revision hip and knee surgery.

This research was conducted in the database Wingerter and his colleagues at the Faculty of Medicine at the University of Washington, and all primary and revision hip and knee replacement surgery rates compare blood transfusion. Overall, the study in 1320 patients with hip and knee 886 cases. You will find that after TXA group demographic data previously not differ significantly. The researchers found that the handling and transportation of all cases the hip was 41.7%, against TXA it is by 13%, decreased. From below the knee and the tax rate dropped from 25% to 7%.

The conclusion is that the incidence of thromboembolism (VTE), the result of four weeks, there was no significant difference in the occurrence of about 6 weeks to 6 months. However, the percentage of patients in the TXA group received relatively low.

Growing interest in the importance of this type of treatment is certainly in recent years. RECORD future research needs to be carefully designed to minimize the transmission of data, costs and mortality in the long term, to determine the best management system, but this is certainly encouraging patient data for joint replacement surgery, but also for health care professionals praise, dealers and bone manager.