Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_17_библиотеки_им_акад_М_И_Перельмана

Baseline erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) should be obtained in any post-traumatic patient with any concern for infection, and if either is high, aspiration can yield additional information. In some cases, it may be prudent to remove the hardware in a staged fashion and to obtain intraop­erative cultures to exclude infection, prior to proceeding with TKA (Lizaur-Utrilla etal. 2015; Pinter etal. 2020). This approach may be advisable when extensive hard­ware removal is required, prominent hardware may be contributing to symptoms, or when infection is sus­pected or has been conrmed. TKA in the PTA patient can be more technically demanding and may require additional resources including techniques, equipment, and implants that many arthroplasty surgeons may not routinely use for uncomplicated primary knee arthro­plasty (Dexel etal. 2016; Weiss etal. 2003a). Implants more typically associated with revision knee arthro­plasty including cones, sleeves, augments, stems, and higher levels of constraints should be available and used when deemed necessary. Small bone defects can be lled with cement technique, sometimes including a screw used as rebar.