Single-stage revision for the infected total knee replacement
| العنوان: | Single-stage revision for the infected total knee replacement |
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| المؤلفون: | Gareth Scott, Luckshmana Jeyaseelan, Saket Tibrewal, Florian Posch, F. Malagelada |
| المصدر: | The Bone & Joint Journal. :759-764 |
| بيانات النشر: | British Editorial Society of Bone & Joint Surgery, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, Male, Reoperation, medicine.medical_specialty, Prosthesis-Related Infections, medicine.medical_treatment, Total knee replacement, Aseptic loosening, Kaplan-Meier Estimate, Prosthesis Design, Risk Assessment, Two stages, Standard procedure, Cohort Studies, Confidence Intervals, medicine, Humans, Orthopedics and Sports Medicine, Arthroplasty, Replacement, Knee, Device Removal, Reduction (orthopedic surgery), Aged, Retrospective Studies, Aged, 80 and over, Single stage, business.industry, Mean age, Antibiotic Prophylaxis, Middle Aged, Osteoarthritis, Knee, Prosthesis Failure, Surgery, Radiography, Single centre, Treatment Outcome, Debridement, Female, Knee Prosthesis, business, Follow-Up Studies |
| الوصف: | Peri-prosthetic infection is amongst the most common causes of failure following total knee replacement (TKR). In the presence of established infection, thorough joint debridement and removal of all components is necessary following which new components may be implanted. This can be performed in one or two stages; two-stage revision with placement of an interim antibiotic-loaded spacer is regarded by many to be the standard procedure for eradication of peri-prosthetic joint infection.We present our experience of a consecutive series of 50 single-stage revision TKRs for established deep infection performed between 1979 and 2010. There were 33 women and 17 men with a mean age at revision of 66.8 years (42 to 84) and a mean follow-up of 10.5 years (2 to 24). The mean time between the primary TKR and the revision procedure was 2.05 years (1 to 8).Only one patient required a further revision for recurrent infection, representing a success rate of 98%. Nine patients required further revision for aseptic loosening, according to microbiological testing of biopsies taken at the subsequent surgery. Three other patients developed a further septic episode but none required another revision.These results suggest that a single-stage revision can produce comparable results to a two-stage revision. Single-stage revision offers a reduction in costs as well as less morbidity and inconvenience for patients.Cite this article: Bone Joint J 2014;96-B:759–64. |
| تدمد: | 2049-4408 2049-4394 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c272b2ecf7e754ffbf231700db3cefca https://doi.org/10.1302/0301-620x.96b6.33086 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....c272b2ecf7e754ffbf231700db3cefca |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20494408 20494394 |
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