Your browser doesn't support javascript.
loading
Early Infection After Aseptic Revision Knee Arthroplasty: Prevalence and Predisposing Risk Factors.
Cochrane, Niall H; Wellman, Samuel S; Lachiewicz, Paul F.
Afiliación
  • Cochrane NH; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.
  • Wellman SS; Department of Orthopedic Surgery, Durham Veterans Administration Medical Center, Durham, NC; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.
  • Lachiewicz PF; Department of Orthopedic Surgery, Durham Veterans Administration Medical Center, Durham, NC; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.
J Arthroplasty ; 37(6S): S281-S285, 2022 06.
Article en En | MEDLINE | ID: mdl-35184932
BACKGROUND: Although patient factors have been associated with prosthetic joint infection (PJI) after primary total knee arthroplasty, there are insufficient data on the relationship of patient and technical factors with early PJI after aseptic revision. METHODS: This is a retrospective study of 157 aseptic revisions performed by 2 surgeons at 1 academic center. A negative intraoperative culture during revision surgery was required for inclusion. Mean follow-up time was 3.8 years (standard deviation 2.8). PJI was defined by positive aspiration or draining wound, and an additional operation within 1 year of aseptic revision. Patient demographics, medical comorbidities, and technical factors were reviewed. Data points were evaluated with univariate and adjusted multivariate regression analyses. RESULTS: The prevalence of PJI after aseptic revision was 9% (14/157). The most common organism was Staphylococcus aureus. Initial treatment included debridement and liner exchange (11) and antibiotic spacer (3). Two patients ultimately had an above-knee amputation. Univariate analysis showed a significant difference in preoperative anemia (P < .01), transfusion (P < .01), and diabetes (P = .05) between cohorts. There was no association among the length of surgery, use of a metaphyseal cone, or the number of components revised and PJI. Adjusted logistic regression demonstrated that preoperative anemia (P < .01) was a significant risk factor for PJI. CONCLUSION: The prevalence of early PJI was similar to other studies in the literature. Anemia was an independent predictor of PJI, while technical factors did not have an association. Medical optimization of patients should be considered prior to revision surgery.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Infecciosa / Infecciones Relacionadas con Prótesis / Artroplastia de Reemplazo de Rodilla Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Infecciosa / Infecciones Relacionadas con Prótesis / Artroplastia de Reemplazo de Rodilla Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos