Abstract：
PURPOSE:This study compared the results of a culture method using sonication with those yielded by the conventional culture method, for patients with infected total knee arthroplasty (TKA). We also evaluated the usefulness of sonication for the identification of pathogens in infected TKA cases. METHODS:Isolates were cultured from 13 implants that had been removed from 13 patients with infected TKA. Preoperative culture was performed on aspirated joint fluid, and during the operation, infected tissue was collected for culture. The removed prosthetic implants were cultured before and after sonication. Next, we identified the cultured bacteria using API biochemical kits and 16 S rRNA sequencing. RESULTS:The cultures from preoperative joint fluid and intraoperative tissue were positive in 9 of 13 cases (69.2%). For the removed implants, 10 cases were positive before sonication. After sonication, 12 cases (92.3%) had positive cultures. The pathogen most commonly isolated from the cultures was Staphylococcus aureus. CONCLUSIONS:This study found that a culturing workflow incorporating sonication diagnosed pathogens in patients with infected TKA with higher sensitivity than did the conventional culturing method.
journal_name
J Orthop Surg (Hong Kong)journal_title
Journal of orthopaedic surgery (Hong Kong)authors
Kim HJ,Kim S,Mun JU,Bae KC,Kim J,Kyung HSdoi
10.1177/2309499019832417subject
Has Abstractpub_date
2019-01-01 00:00:00pages
2309499019832417issue
1eissn
1022-5536issn
2309-4990journal_volume
27pub_type
杂志文章abstract：PURPOSE:To review medium-term results of 49 consecutive patients who underwent Oxford phase-3 medial unicompartmental knee arthroplasty by a single surgeon. METHODS:Records of 28 women (mean age, 71 years) and 21 men (mean age, 68 years) who underwent minimally invasive Oxford phase-3 medial unicompartmental knee arth...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901202000204
更新日期：2012-08-01 00:00:00
abstract：PURPOSE:Reconstruction of the anterior cruciate ligament (ACL) is the most frequently performed reconstructive surgery in the knee. Biomechanical studies have shown that double bundle (DB) reconstruction is better than single bundle (SB) reconstruction with regard to rotational stability. It is postulated that resectio...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499018773124
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To assess distance changes between the femoral and tibial attachment points of 3 different anterior cruciate ligament (ACL) tunnel entry positions throughout the range of knee motion in cadaveric knees. METHODS:The ACLs of 11 fresh-frozen cadaveric knees (from 6 men and 5 women) were removed using radiofrequen...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901402200310
更新日期：2014-12-01 00:00:00
abstract：:The author describes a case of a 10-year-old boy with fracture of both forearm bones and a concomitant partial rupture of the ulnar artery. The damage to the ulnar artery was repaired at the time of fasciotomy with a good functional outcome. ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900000800104
更新日期：2000-06-01 00:00:00
abstract：:Combined lateral condyle mass and olecranon fractures are infrequently seen. These cases are easily missed, and only 12 previous cases are detailed in the English medical literature. The decision for surgical fixation usually depends on the amount of displacement of the individual fractures. However, the optimal surgi...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019837146
更新日期：2019-05-01 00:00:00
abstract：PURPOSE:To report on 14 consecutive cases of occipitocervical fixation. METHODS:Records of 8 men and 6 women aged 40 to 81 (mean, 57) years who underwent occipitocervical fixation and were followed up for a minimum of 2 years were retrospectively reviewed. Neurological grading was assessed before and after surgery usi...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500317
更新日期：2007-12-01 00:00:00
abstract：:A 76-year-old man presented with a 4-day history of bilateral leg pain. Magnetic resonance imaging (MRI) of the lumbosacral spine revealed a spinal subarachnoid and spinal epidural haematomas. MRI of the brain revealed a chronic intracranial subdural haematoma with a midline shift. On further questioning, the patient ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900901700323
更新日期：2009-12-01 00:00:00
abstract：:Restricted hip movement along with femoroacetabular impingement (FAI) has been reported to be an important risk factor in anterior cruciate ligament (ACL) injury. We performed a literature review assessing the evidence that FAI, or restricted hip movement, contributes to the likelihood of sustaining an ACL injury to p...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/2309499018799520
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To report the outcome of fusion of the first metatarsophalangeal joint (MTPJ) using the Fyxis plate and compression screws. METHODS:Medical records of 12 men and 39 women (54 feet) aged 28 to 74 (mean, 58) years who underwent primary fusion of the first MTPJ using the Fyxis plate and compression screws for hal...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901402200110
更新日期：2014-04-01 00:00:00
abstract：:Concomitant fungal and bacterial atlanto-axial osteomyelitis in immunocompetent individuals is rare. We report one such patient who underwent transoral anterior decompression and posterior occipital cervical fusion, together with antibiotic and antifungal treatment. At 16-month follow-up, the patient had made a full r...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901001800221
更新日期：2010-08-01 00:00:00
abstract：PURPOSE:The aim of this study was to evaluate short-term clinical and radiological results of extensor carpi radialis longus (ECRL) tendon ball arthroplasty for treatment of late-stage Kienböck's disease. METHODS:We retrospectively reviewed data of 19 patients suffering from Kienböck's treated with ECRL tendon ball ar...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499018802514
更新日期：2018-05-01 00:00:00
abstract：AIM:To determine whether a mechanical, high-frequency vibration device (Tenease™) can improve pain and function for the treatment of tennis elbow (TE), compared with standard treatment. METHODS:Adults presenting to an elbow clinic with a clinical diagnosis of TE were randomized to standard treatment with physiotherapy...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,随机对照试验
doi：10.1177/2309499018792744
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To report the radiological and clinical results of revision total hip arthroplasty (THA) with femoral impaction bone grafting (IBG). METHODS:4 men and 9 women (15 hips) aged 38 to 84 years underwent revision THA with femoral IBG using Elite plus stems for aseptic loosening or infection. RESULTS:The mean follo...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901001800309
更新日期：2010-12-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to analyze the survival of the Echelon® femoral stems in revision hip surgeries in patients with Paprosky I-IIIA femoral defects. PATIENTS AND METHODS:Sixty-six patients (70 hips) who underwent revision hip surgery with at least 3 years of follow-up data were included in the stud...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499018783906
更新日期：2018-05-01 00:00:00
abstract：:A subcapital femoral neck fracture complicating a healed trochanteric fracture is rare. Such cases are managed in a rather heterogeneous manner, i.e. there exists a mixture of cases treated by either fixed angle devices or dynamic compression screws. We describe 5 patients who developed subcapital femoral neck fractur...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500224
更新日期：2007-08-01 00:00:00
abstract：PURPOSE:To examine the long-term effects of hip arthrodesis in terms of gait adaptations. METHODS:Motion analysis was performed on 9 patients who underwent unilateral hip arthrodesis between 1979 and 1991. A standard clinical gait analysis 3-dimensional model for the lower limb was used to calculate the effect of the ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900301100209
更新日期：2003-12-01 00:00:00
abstract：PURPOSE:To examine possible causes of publication bias in the orthopaedic literature so as to avoid inappropriate clinical decisions based on reviews of the literature. METHODS:Two reviewers independently reviewed abstracts presented to the 1999 American Academy of Orthopaedic Surgeons annual meeting. Data pertaining ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500114
更新日期：2007-04-01 00:00:00
abstract：:Paediatric musculoskeletal infection remains an important cause of morbidity. Methicillin sensitive Staphylococcus aureus is still the most common organism although the incidence of methicillin resistant S. aureus in the community is rising. Osteomyelitis and septic arthritis due to Haemophilus influenzae is decreasin...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900100900116
更新日期：2001-06-01 00:00:00
abstract：PURPOSE:To compare patients with increased risk of bleeding who received combined blood reinfusion and femoral nerve block in total knee replacement (TKR) to regular patients treated routinely with respect to pain relief, blood loss, and knee function. METHODS:In a consecutive series of 67 patients who underwent unila...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901101900115
更新日期：2011-04-01 00:00:00
abstract：PURPOSE:Tibial bowing in valgus knees with arthritis can lead to component malplacement during total knee arthroplasty (TKA). Incidence of valgus knees with medial tibial bowing, its effect on tibial component placement during primary TKA and methods to improve accuracy of the component placement were studied. METHODS...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019867006
更新日期：2019-09-01 00:00:00
abstract：PURPOSE:The purpose of this study was to evaluate the implication of gait speed, which is a prerequisite for the diagnosis of sarcopenia in older patients with lumbar spinal stenosis (LSS). METHODS:This study was conducted in a total of 235 patients with LSS who underwent surgical treatment. The state of sarcopenia an...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499020918422
更新日期：2020-01-01 00:00:00
abstract：:To clarify the effect of CTLA4-lg on immune rejection of bone grafts, we observed the effect of CTLA4-lg on lymphocyte proliferation of BALB/C mice stimulated by lymphocytes and bone supernatant of C57BL/6 mice. The splenic lymphocytes and bone supernatant of C57BL/6 mice, as the stimulator cells and stimulator antige...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900000800114
更新日期：2000-06-01 00:00:00
abstract：PURPOSE:To evaluate understanding of the fundamental concepts of informed consent by the public and patients. METHODS:Questionnaires were distributed to any persons (aged more than 16 years) attending the Palmerston North Hospital (excluding in-patients). The first 1000 completed questionnaires were analysed using the...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900801600202
更新日期：2008-08-01 00:00:00
abstract：:Pigmented villonodular synovitis of the elbow is rare and even rarer in children. We report a case of pigmented villonodular synovitis of the elbow in a 6-year-old girl who underwent total synovectomy after the diagnosis was confirmed by biopsy. The osteochondral defect at the olecranon was filled with calcium phospha...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500124
更新日期：2007-04-01 00:00:00
abstract：PURPOSE:To evaluate the intra- and inter-observer reproducibility of the Gartland radiographic classification for supracondylar humeral fractures in children. METHODS:Anteroposterior and lateral radiographs of 50 supracondylar humeral fractures in children were graded on 2 separate occasions by 4 orthopaedic surgeons ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500104
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND:Juvenile hallux valgus (JHV) frequently results in an impaired quality of life because of pain and deformity. We used a validated clinical score to investigate the efficacy of lateral hemiepiphysiodesis of the first metatarsal base as a treatment for JHV. METHODS:We conducted a prospective, nonrandomized, s...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 临床试验,杂志文章
doi：10.1177/2309499018801135
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To study the course of L4 to S3 nerve roots and their distance with the ala of the sacrum and the sacroiliac joint. METHODS:The embalmed left half pelvis of 25 male and 27 female cadavers aged 30 to 91 (mean, 68) years were studied. The ventral rami of the L4, L5, S1, S2, and S3 nerve roots were dissected alon...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901001800319
更新日期：2010-12-01 00:00:00
abstract：:Acetabular wedge augmentation is a useful technique and is recommended in situations where cup revision is likely to be excessively difficult. Numerous augmentation designs that improve the stability of the hip are now available in the market. Occasionally, however, these devices are not readily available, particularl...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900501300221
更新日期：2005-08-01 00:00:00
abstract：PURPOSE:To report the clinical, functional, and magnetic resonance imaging (MRI)-based outcomes of a novel autologous-made matrix consisting of hyaline cartilage chips combined with mixed plasma poor rich in platelets clot and plasma rich in growth factors (PRGF) for the treatment of knee full-thickness cartilage or os...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019887547
更新日期：2020-01-01 00:00:00
abstract：PURPOSE:This study aims at sharing our experience as how to obtain and identify axial view image of the acetabular anterior column in patients. METHODS:Pelvic computed tomography data of six normal adults were used to reconstruct three-dimensional (3D) models. The transparency of each 3D model was downgraded at the vi...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499016685012
更新日期：2017-01-01 00:00:00
