Risk of Reinfection after Irrigation and Debridement of Acute Periprosthetic Joint Infection following TKA
| Autor: | Samrath J. Bhimani, Brian Dilworth, Edmund Lau, Arthur L. Malkani, Langan S. Smith, Kevin L. Ong, James F. Baker |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Prosthesis-Related Infections medicine.medical_treatment Total knee arthroplasty Periprosthetic Therapeutic irrigation Diabetes Complications 03 medical and health sciences 0302 clinical medicine Risk Factors Medicine Humans Orthopedics and Sports Medicine In patient Claims database Arthroplasty Replacement Knee Therapeutic Irrigation Aged Aged 80 and over 030222 orthopedics Debridement business.industry Age Factors Prosthetic joint infection 030229 sport sciences Arthroplasty Surgery Reinfection Female business |
| Zdroj: | The journal of knee surgery. 33(7) |
| ISSN: | 1938-2480 |
| Popis: | The purpose of this study was to determine the risk factors associated with reinfection in patients treated with irrigation and debridement (I&D) with liner exchange for an acute (less than 3 months) prosthetic joint infection following the index primary total knee arthroplasty (TKA). Medicare claims database was queried to identify patients with periprosthetic joint infection within 3 months of their index TKA who underwent I&D with tibial polyethylene liner exchange. Exclusion criteria included age 85 years old (p 6 weeks after index procedure compared with those performed within 2 weeks. Patients older than 85 years, diabetics, or treated with I&D with liner exchange > 14 days following the primary TKA had a significantly higher risk of reinfection within 1 year. Patients should be cautioned on the risk of reinfection prior to proceeding with I&D with liner exchange > 2 weeks following the index procedure. |
| Databáze: | OpenAIRE |
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