BACKGROUND Culturing of samples of periprosthetic tissue is the standard method used for the microbiologic diagnosis of prosthetic-joint infection, but this method is neither sensitive nor specific. In prosthetic-joint infection, microorganisms are typically present in a biofilm on the surface of the prosthesis. We hypothesized that culturing of samples obtained from the prosthesis would improv...

OBJECTIVE Compared with reoperative aortic valve replacement for nonendocarditic causes, the contemporary risk and long-term outcomes of reoperation for aortic prosthetic valve endocarditis are ill-defined. METHODS Between December 1994 and April 2008, 313 patients underwent reoperative aortic valve replacement, of whom 152 (48.6%) had prosthetic valve endocarditis. Mean follow-up was 6.5 ± 0...

This is the first report of an unusual fatal complication associated with the Starr-Edwards prosthetic aortic valve holder. The patient died 51 days after replacement of his aortic valve with a Starr-Edwards prosthetic aortic valve. The cause of death was coronary arterial embolus caused by a fragment broken off of the prosthetic aortic valve holder.

In able-bodied individuals, the ankle joint functions to provide shock absorption, aid in foot clearance during the swing phase, and provides a rocker mechanism during stance phase to facilitate forward progression of the body. Prosthetic ankles currently used by persons with lower limb amputations provide considerably less function than their anatomical counterparts. However, increased ankle m...

In this work, a magnetorheological (MR) damper based above-knee prosthesis is design and evaluated based on its performance in swing phase and in stance phase. Initially, a dynamic system model for swing phase of a prosthetic leg incorporating a single-axis knee with ideal MR damper was built. The dynamic properties of the damper are represented with Bingham parametric model. From Bingham model...

Undil now, national comprehensive databases containing patient-specific information on the disabled population's use of prosthetic, orthotic, or sensory aids have not existed . I was disappointed to discover this fact when I became Director of the Veterans Health Administration's Prosthetic and Sensory Aids Service . It was then that I resolved to develop a data system that would provide the ne...

A pilot study was undertaken to evaluate the clinical acceptance of prosthetic limb sockets manufactured using solid freeform fabrication (SFF). The fabrication of sockets for amputees is a natural application for SFF. The socket is the part of the prosthetic limb that fits onto the amputee’s residual limb. Each socket is custom manufactured for each individual amputee. Four amputees were succe...

Pathologists all over the world increasingly encounter prosthetic cardiac devices. A good evaluation of these devices is a valuable source of information, which can contribute to patient care and the appreciation and understanding of the pathobiology involved in the changes occurring between the host and the implanted prosthetic device. This article summarises the considerations underlying the ...

Extrapulmonary infections caused by Legionella spp. other than Legionella pneumophila are rare. We report what is, to our knowledge, the first description of a prosthetic joint infection due to Legionella spp. Systematic testing of samples with suspected prosthetic infection by molecular biology techniques was essential. Legionella micdadei should be added to the list of microorganisms causing ...