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Infections that afflict patients who undergo orthopaedic procedures are as devastating today as they were half a century ago. In spite of new antibiotics and innovative surgical techniques, bacterial infections seem to stay one step ahead of clinicians to bring additional pain and suffering to patients. Modern orthopaedic surgery has made tremendous strides in helping those with musculoskeletal disorders return to a quality of life that they seek, and we clinicians have at our disposal, tremendous new innovative technology to help our patients. However, this new thrust in innovation is often accompanied by more sophis-ticated implants and longer surgical times, which seem to be an ideal environment for the oppor-tunistic bacteria to wreak havoc. In spite of min-imally invasive techniques that seem to mitigate some of the risks, infections still seem to somehow sneak into arthroscopic portals or other tubular access channels. Infections today are just as dev-astating to the patient and surgeon as they were in previous generations, especially with the ever-changing bacterial DNA which seems to dodge the barrage of new wave antibiotics that we clinicians throw at it.
In Management of Orthopaedic Infections: A Practical Guide edited by Antonia Chen, MD, MBA, all of the major topics that are critically important for surgeons treating such infections are covered in a very pragmatic way, which provides clinicians a useful blueprint for treatment. Introductory chapters on general principles of microbial detec-tion and the use of various antibiotics lay the foundation for diagnosis and medical treatment, but chapters in the principles of surgical irrigation and debridement as well as orthopaedic dressing management provide very useful and evidence-based practical guidelines for both young and experienced orthopaedic surgeons in all subspe-cialties. The book then turns to specific nuances of the sub-specialties that affect patients differently and provides Practical Tips and guidelines for optimizing treatment success.
Management of Orthopaedic Infections: A Prac-tical Guide is a resource that all orthopaedic sur-geons as well as other subspecialists will find very useful for quick reference and guidelines for treat-ing orthopaedic infections. Infections will never go away, sowe clinicians have to maintain our vigil and constantly look for improved techniques and better drugs to fight this ever-present danger that lurks around our patients.