Risk Factors for Prosthetic Joint Infection after Primary Hip Arthroplasty

Autor: A. A. Myasoedov, S. S. Toropov, G. V. Berezin, V. V. Karelkin, Z. A. Totoev, I. I. Shubnyakov, R. M. Tikhilov
Jazyk: ruština
Rok vydání: 2020
Předmět:
Zdroj: Travmatologiâ i Ortopediâ Rossii, Vol 26, Iss 1, Pp 40-47 (2020)
Druh dokumentu: article
ISSN: 2311-2905
2542-0933
DOI: 10.21823/2311-2905-2020-26-1-40-47
Popis: Prosthetic joint infection (PJI) after primary hip arthroplasty (PHA) in most cases results in severe surgical and socio-economic problems. Along with improving the technical support of arthroplasty and antibiotic prevention schemes, a key point in reducing the rate of infectious complications is predicting of PJI in each individual patient. The purpose of the study was to reveal the key features of our patients with infectious complications after PHA in comparison with the patients with a successful outcome of arthroplasty. Materials and Methods. The outcomes of 249 cases of PHA were evaluated retrospectively. 115 of them subsequently developed PJI (main group) and 134 were without infectious complications (control group). The comparative analysis of the groups was aimed at identifying the key preoperative, intraoperative and postoperative factors for PJI, as well as combinations of the factors characteristic for our patients. Results. The risk group for the development of infectious complications included patients undergone hip surgery (p40 kg/m2 (p = 0.170), preoperative hemoglobin 90 min (p410 ml (p69 mg/L on day 4 th to 5 th after PHA (p
Databáze: Directory of Open Access Journals