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October 24, 1977

Total Joint Replacement

JAMA. 1977;238(17):1810. doi:10.1001/jama.1977.03280180014004

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To the Editor. —  I read with interest a letter by Lazansky et al (238:129, 1977). This was an excellent subject to be treated in The Journal because of the wide contact of these total joint replacement patients with other members of the medical and dental field other than orthopedists. For some time I have given my total joint replacement patients a billfold-sized card for their permanent possession and reference. It is printed with a blank for the name of the patient and states that this patient has had a total joint replacement (the type and sites are listed) and "because there have been instances of late infection occurring with infections in other body systems with or without other surgical procedures, it is advised that infections be promptly diagnosed and treated with appropriate antibiotics and that with operative procedures 'prophylactic antibiotics' be considered. This metal joint may set off metal detector