Abstract
Orthopaedic surgeons have tried to minimize the risk of deep sepsis in total joint replacement since the advent of this surgical procedure. The development of clean air systems and personal exhaust suits have been critiqued frequently in the literature. Although scientific data indicating that these systems significantly decreased the rate of deep sepsis have varied, the interest in clean air systems has continued. This article reviews the literature on clean air systems in the operating room, and describes the system currently in use at Rush-Presbyterian-St. Luke's Medical Center in Chicago.
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