Surgical site infection after primary total knee arthroplasty is associated with a longer duration of surgery

Journal of Orthopaedic Surgery
Bryon J X TeoAndrew H C Tan

Abstract

Surgical site infection (SSI) is a serious complication following total knee arthroplasty (TKA) leading to considerable morbidity. The incidence is reported to be up to 2%. Risk factors continue to be an area of intense debate. Our study aims to report the incidence of SSI and identify possible risk factors in our patients undergoing TKA. Prospectively collected data for 905 patients who underwent elective unilateral TKA by a single surgeon from February 2004 to July 2014 were reviewed. Patient demographics and relevant co-morbidities such as diabetes and heart disease were analysed. The presence of superficial wound infections and/or prosthetic joint infections was included. The overall infection rate was 1.10% (10 of 905 patients). Six patients (0.66%) were diagnosed with superficial infections and four with PJI (0.44%). The mean operative duration for TKA with SSI was significantly longer at 90.5 ± 28.2 min, compared to 72.2 ± 20.3 min in TKA without SSI ( p = 0.03). All superficial infections occurred within the first month post-surgery and were self-limiting with oral antibiotics. The four patients with PJI required repeated procedures following TKA, including debridement, implant removal and/or revision arthroplasty. None...Continue Reading

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Citations

Jul 19, 2019·The Journal of Bone and Joint Surgery. American Volume·Thomas K FehringAaron Tande
Nov 11, 2019·Archives of Orthopaedic and Trauma Surgery·Juan F BlancoDavid Pescador
Mar 19, 2021·Journal of Orthopaedic Surgery and Research·Mohammad Naghi TahmasebiHamid Rabie
May 28, 2021·EFORT Open Reviews·Jean-Pierre St Mart, En Lin Goh

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