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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Dr. Adam Rosen is an orthopedic surgeon who specializes in total joint replacement. He created this podcast which is aimed at interns, residents, fellows, and general orthopedists who are looking to dive into the details of total knee replacements, hip replacement, and classic articles.
Be sure to check out my YouTube page: https://www.youtube.com/playlist?list=PL226EPMMG9vZmOiuDpmmh36nNzyPrYcRS
(Disclaimer: This is my opinion. Any information gathered is not medical education. Practitioners need to use their education and experience to determine how to treat their own patients.)
Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
ICM 2018 Criteria for PJI
The International Consensus Meeting on MSK Infection presented their new criteria in 2018
Major Criteria
1. Two positive periprosthetic cultures w/ phenotypically identical organisms
2. A sinus tract communicating with the joint
____________________
Minor Criteria
> or equal to 6 = infected
4-5 = inconclusive
< or equal to 3 = not infected
___________________
2 points for:
Serum CRP 100 in acute or 10 in chronic
or
D-dimer 860 in chronic
1 point for:
ESR 30 in chronic
3 points for:
synovial WBC 10,000 in acute or 3,000 in chronic
or
leuk esterase ++ in acute and ++ in chronic
or
positive alpha defensin
2 points for:
synovial PMN 90 in acute or 70 in chronic
2 points for:
single positive culture
3 points for:
positive histology
3 points for:
intraoperative purulence
ICM Philly website: https://icmphilly.com/
PJI Risk Calculator: https://icmphilly.com/ortho-applications/prosthetic-joint-infection-pji-risk-calculator/
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