Postsurgical infection from using a computed tomography-based hip navigation system during total hip arthroplasty
Autor: | Tomoharu Takagi, Takuro Ueno, Ken Ueoka, Junya Yoshitani, Tadashi Taga, Yuuki Yamamuro, Hiroyuki Tsuchiya, Yoshitomo Kajino, Tamon Kabata, Takaaki Ohmori, Daisuke Inoue |
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Rok vydání: | 2020 |
Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Prosthesis-Related Infections Arthroplasty Replacement Hip Operative Time Periprosthetic Computed tomography Osteoarthritis Risk Assessment Osteoarthritis Hip 03 medical and health sciences 0302 clinical medicine Japan Risk Factors Medicine Humans Surgical Wound Infection Orthopedics and Sports Medicine Aged 030222 orthopedics medicine.diagnostic_test business.industry Incidence (epidemiology) Incidence Significant difference Navigation system medicine.disease Surgical Navigation Systems Surgery Outcome and Process Assessment Health Care 030220 oncology & carcinogenesis Female Implant business Tomography X-Ray Computed Total hip arthroplasty |
Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 30(6) |
ISSN: | 1432-1068 |
Popis: | A computed tomography (CT)-based hip navigation system is a useful tool for achieving precise implant alignment angle. However, it has the disadvantage of prolonged procedure duration. A prolonged procedure duration may increase the incidence of postoperative surgical site infection (SSI) or periprosthetic joint infection (PJI) following primary THA. Studies identifying whether CT-based hip navigation system increases the incidence of SSI and PJI compared to the free-hand technique for total hip arthroplasty (THA) are rare. The study aimed to assess whether the CT-based hip navigation system can cause SSI and PJI compared to the free-hand technique. We investigated 366 patients with osteoarthritis who completed the minimum 2-year follow-up and underwent primary THAs (n = 435), including 70 hips in 62 patients of the non-navigation group and 365 hips in 304 patients of the navigation group. We compared the incidence rate of SSI and PJI between the non-navigation group and navigation group. Only three patients in the navigation group (0.8%) developed SSI or PJI, while no patient developed SSI or PJI in the non-navigation group. There was no significant difference in the incidence rate of SSI or PJI between the two groups (P = 1.0), although the mean operation time in the navigation group was about 20 min longer. CT-based hip navigation system may not be associated with SSI or PJI after primary THA, although it prolongs the operation time. |
Databáze: | OpenAIRE |
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