Infection Orthopaedic Topics
Septic arthritis, osteomyelitis, prosthetic joint & soft-tissue infection. 3 evidence-informed references covering conditions, classifications, management and high-yield exam notes for FRCS (Tr&Orth), FRACS, EBOT and ABOS preparation.
All Infection topics (3)
- Antibiotic Pharmacology and Resistance Mechanisms (incl. Biofilm)Fellowship-level guide to antibiotics for the orthopaedic surgeon: the major classes by mechanism (cell wall, protein synthesis, DNA/RNA, folate), bactericidal vs bacteriostatic and concentration- vs time-dependent killing, the mechanisms of bacterial resistance (enzymatic, target modification, efflux, reduced uptake), and the central role of BIOFILM tolerance in periprosthetic joint infection and osteomyelitis - with rifampicin's biofilm penetration.
- Septic Bursitis (Olecranon / Prepatellar)Fellowship-level guide to septic bursitis of the superficial olecranon and prepatellar bursae: the distinction from septic arthritis and from non-septic bursitis, the role of bursal aspiration (Staph aureus predominates), and the evidence that most cases resolve with antibiotics alone - with surgery reserved for abscess, foreign body or failed medical therapy.
- Tuberculous Arthritis (Peripheral Joint TB)Fellowship-level guide to tuberculous arthritis of peripheral joints (hip and knee most common): the indolent granulomatous monoarthritis, the Phemister radiographic triad, the diagnostic value of synovial biopsy/culture/PCR, the anti-tuberculous chemotherapy mainstay with adjunctive surgery, and the destructive sequelae (ankylosis) distinguishing it from pyogenic septic arthritis.