A recent opportunity to highlight Manchester’s orthopaedics expertise came through a specialised symposium, co-hosted in the city by MAHSC’s Inflammation and Repair Domain Clinical Lead, Professor Phil Turner.
The day-long, Infected Total Knee Replacement (TKR) Symposium, held at the end of February, focused on the issues associated with TKR practices, prevention, diagnostics and intervention.
A range of early complications, including infection, can occur after knee replacement.
The symposium, attended by 40 orthopaedic surgeons, heard that patients, with a BMI of over 40 at the time of a TKR, are 10 times more likely to develop infection and that the 5 year mortality for an infected TKR is worse than that for many cancers.
Professor Turner’s opening presentation considered the implications and learnings for TKR from the national ‘Getting it Right First Time (GIRFT) initiative, which triggered a national overhaul of orthopaedic services.
‘Infected TKRs are one of the most devastating complications for patients’ said Professor Turner. ‘With the number of TKRs increasing, and greater costs associated with infected TKRs, it is crucial that we look at various strategies to deal with infection and recover function.’
The first session looked at the epidemiology of prosthetic infection and the strategies to provide a specialist service, as well as collecting data for research and benchmarking outcomes.
Further sessions covered risk stratification to try to identify patients at most risk of infection and optimisation of both the patient and theatre environment.
A keynote lecture was given by Professor Ian Roberts, from The University of Manchester, on the potential for graphene oxide to inhibit biofilm formation.
For more information about the symposium see ITKR Programme 2017.
* Professor Turner is also the Chair of the Greater Manchester Orthopaedic Alliance which works to ensure regional NHS providers deliver a world-class orthopaedic service, education, training and research.
Click here for more information about this MAHSC-led project.