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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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This initial series <strong>of</strong> robotically guided UKA implantations provided significant improvement in<strong>the</strong> post-operative function <strong>of</strong> patients in every functional measurement with only two revisionsto date, likely for improper patient selection. The introduction <strong>of</strong> new procedures andtechnologies in medicine is routinely fraught with issues associated with learning curves andunanticipated pitfalls. Because <strong>the</strong> explicit objectives <strong>of</strong> this novel technology are to optimizesurgical procedures to provide more safe and more reliable outcomes, <strong>the</strong>se favorable resultsprovide <strong>the</strong> potential for significant improvements in orthopedic surgery.Saturday, October 9, 2010, 9:10-9:50Session A18: Complication ManagementRecurrence <strong>of</strong> Infection After a Two Stage Revision Protocol: Analysis <strong>of</strong>Risk Factors.*Edoardo Crainz - U.O.C.POLICLINICO LE SCOTTE - Siena, ITALY*Email: edocrainz@alice.itABSTRACT: Two-stage revision is <strong>the</strong> gold standard in treatment <strong>of</strong> TKA infection. Severalrisk factor as <strong>the</strong> type <strong>of</strong> microbical flora, presence <strong>of</strong> general and local comorbidity and <strong>the</strong>type <strong>of</strong> <strong>the</strong>rapeutic protocol may influence <strong>the</strong> success rate <strong>of</strong> treatment. The aim <strong>of</strong> our study isto assess <strong>the</strong> impact <strong>of</strong> <strong>the</strong>se factor on prognosis in two-stage revision in chronic peripros<strong>the</strong>ticknee infection. We treated 38 knees in 37 patients, with an overall recurrence <strong>of</strong> 23,5% (9recurrences). Our series analisys shows that associated diseases can affect <strong>the</strong> final result, withrecurrence <strong>of</strong> infection in 12% <strong>of</strong> patients with one risk factor and in 33% <strong>of</strong> patients withassociation <strong>of</strong> comorbidity , wherass any infection occurred if less than three comorbidity werepresent. We also detect a statistically significative higher rate <strong>of</strong> recurrence in presence <strong>of</strong> localrisk factor and in infection sustained by methicillin-resistant germs or with poly-microbialflora. Presence <strong>of</strong> <strong>the</strong>se factors significantly affect prognosis and should be taken into seriousconsideration in <strong>the</strong> decision process leading to appropriate treatment.Saturday, October 9, 2010, 9:10-9:50Session A18: Complication ManagementAn Efficient Algorithm for Minimizing Perioperative Blood Loss Duringfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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