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Case Reports in Orthopedics
Volume 2012 (2012), Article ID 147042, 3 pages
http://dx.doi.org/10.1155/2012/147042
Case Report

The Need for Guidelines in Asplenic Patients Undergoing Total Joint Arthroplasty: A Case Report

1Department of Orthopaedic Surgery, Sports Surgery Clinic, Santry Demesne, Dublin 9, Ireland
2Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland

Received 1 December 2011; Accepted 29 January 2012

Academic Editor: T. Tsurumoto

Copyright © 2012 S. R. Shaarani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

There are currently no guidelines for splenectomy patient undergoing total joint arthroplasty. We present a case history of a 63-year-old man with a history of splenectomy that underwent a total knee arthroplasty with standard intravenous antibiotic prophylaxis. Two weeks postoperatively, he developed a prosthetic joint infection and followed the standard antimicrobial management with intravenous and oral antibiotics prior to having revision surgery. We propose that there are guidelines to properly manage these patients in the pre- and perioperative setting following an orthopaedic procedure.