Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Sterile Procedures - BOA Guidelines, 1995


The consequences of deep infection following orthopaedic operations can be catastrophic. Infection following joint replacement infection leads to loss of the prosthesis & prolonged disability. Revision arthroplasty following infection is technically difficult & both the operating time & duration of hospital admission may be 2-3 times longer than for primary joint replacement. Revision for infection is time-consuming, costly & erodes resources available for primary joint replacement.

A low incidence of infection depends upon operating theatre design, meticulous surgical technique & rigid aseptic discipline within the operating theatre suite. In recent years the high standards maintained by orthopaedic surgeons have been questioned by some outside our speciality including managers, microbiologists, nurses & operating department assistants. Some of these individuals have refused to adhere to the exacting standards required for joint replacement.

The early infection rate following total hip replacement in standard operating theatres without modern aseptic precautions was as high as 11% but a combination of prophylactic antibiotics & clean air can reduce the infection rate to 0.3%. An infection rate of 0.38% has been reported for uncomplicated primary THR but an infection rate of 1-2% may be more common.

Papers which show that omitting the use of face masks in general surgery where there is an infection rate approaching 5% have no relevance to orthopaedic surgery. There is no published evidence to support a relaxation of sterile procedures for orthopaedic surgery.

This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.

© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 15 February 2005Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Surgical Approaches
Analgesia and Orthopaedics
Autologous Blood Transfusion
Blood Management in Orthopaedic Sur...
Consent to Treatment
Epidural Analgesia
Grafts & Flaps
Hyponatraemia after orthopaedic sur...
Joseph Lister
Management of blood loss in Jehovah...
Other Medical Problems (Nonpulmonar...
Pulmonary Problems
Serological Investigations
Sterile Procedures - BOA Guidelines...
Sterilisation & Asepsis
Theatre Design & Ventilation
Thromboembolism in Orthopaedic surg...
Thromboprophylaxis in Trauma & Orth...
Wound Healing
Hide Menu