Reinfection and re-revision rates of 113 two-stage revisions in infected TKA
| Autor: | Katrijn Smulders, Jon H M Goosen, Gijs G. van Hellemondt, Anouk M E Jacobs, Joris Bongers |
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| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry Revision procedure medicine.medical_treatment Total knee arthroplasty Periprosthetic Musculoskeletal infection Prosthesis Surgery lcsh:RD701-811 03 medical and health sciences 0302 clinical medicine Infectious Diseases lcsh:Orthopedic surgery Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Aseptic processing Stage (cooking) business Research Paper |
| Zdroj: | Journal of Bone and Joint Infection, Vol 5, Pp 137-144 (2020) Journal of Bone and Joint Infection |
| ISSN: | 2206-3552 |
| DOI: | 10.7150/jbji.43705 |
| Popis: | Introduction: Two-stage revision is the most frequently performed revision procedure of a (suspected) periprosthetic joint infection (PJI) after total knee arthroplasty (TKA). The reported results of this treatment show large variability between studies, ranging between 0 - 40 percent failure. The purposes of this study were to determine long term (1) reinfection rate, (2) re-revision rates for any reason, and (3) the reinfection rate of patients with positive cultures at reimplantation.Methods: We prospectively followed and retrospectively reviewed 113 consecutive two-stage revision TKAs, performed between 2003 and 2013 in our clinic with a minimum follow-up of 2 years. Diagnosis of PJI was based on the major Musculoskeletal Infection Society criteria for PJI.Results: After a mean follow-up of 94 months (range 24-172 months), infection recurred in 23 cases (23%). Of these, nine cases (9%) were defined as relapse (same micro-organism as index revision) and in 14 cases another causative was found (14%). In 11 patients debridement, antibiotics and retention of the prosthesis successfully eradicated the reinfection. After overall follow-up 17 patients (17%) underwent re-revision surgery, 11 patients (11%) due to an infection and 6 patients (6%) for aseptic reasons.Conclusions: Treatment of a (suspected) infection of a TKA by a two-stage revision had acceptable results based on re-revision and re-infection rates in the long term (>5 years), resembling the short-term results ( |
| Databáze: | OpenAIRE |
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