The parameters affecting the success of irrigation and debridement with component retention in the treatment of acutely infected total knee arthroplasty

Clinics in Orthopedic Surgery
Jae Gyoon KimHong Chul Lim

Abstract

The aims of our study were to evaluate the success rate of irrigation and debridement with component retention (IDCR) for acutely infected total knee arthroplasty (TKA) (< 4 weeks of symptom duration) and to analyze the factors affecting prognosis of IDCR. We retrospectively reviewed 28 knees treated by IDCR for acutely infected TKA from 2003 to 2012. We evaluated the success rate of IDCR. All variables were compared between the success and failure groups. Multivariable logistic regression analysis was also used to examine the relative contribution of these parameters to the success of IDCR. Seventeen knees (60.7%) were successfully treated. Between the success and failure groups, there were significant differences in the time from primary TKA to IDCR (p = 0.021), the preoperative erythrocyte sedimentation rate (ESR; p = 0.021), microorganism (p = 0.006), and polyethylene liner exchange (p = 0.017). Multivariable logistic regression analysis of parameters affecting the success of IDCR demonstrated that preoperative ESR (odds ratio [OR], 1.02; p = 0.041), microorganism (OR, 12.4; p = 0.006), and polyethylene liner exchange (OR, 0.07; p = 0.021) were significant parameters. The results show that 60.7% of the cases were successful...Continue Reading

References

Jun 1, 1994·The Journal of Bone and Joint Surgery. American Volume·D E Ellingsen, J A Rand
May 1, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·C M BrandtD R Osmon
Feb 11, 1999·The New England Journal of Medicine·C Gabay, I Kushner
Jul 7, 2000·The Journal of Arthroplasty·B J WaldmanD S Hungerford
Nov 20, 2002·Clinical Orthopaedics and Related Research·Mauricio SilvaThomas P Schmalzried
Jan 24, 2003·The Journal of Bone and Joint Surgery. American Volume·Dean T TsukayamaRichard Kyle
Mar 2, 2005·The Journal of Bone and Joint Surgery. British Volume·R TrebseA Trampuz
Oct 18, 2005·The Journal of Bone and Joint Surgery. American Volume·James M Leone, Arlen D Hanssen
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Leonard N MathesonRobert J Gatchel
Jun 5, 2007·The Journal of Bone and Joint Surgery. American Volume·Yogesh MittalDouglas Osmon
Oct 6, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Elie F BerbariDouglas R Osmon
Aug 12, 2009·Clinical Orthopaedics and Related Research·Steven M KurtzJavad Parvizi
Jun 15, 2010·The Journal of Infection·Louis BernardIlker Uçkay
Jun 15, 2010·Clinical Orthopaedics and Related Research·Jeremy GardnerPenny Tatman
Jun 29, 2010·Clinical Orthopaedics and Related Research·J Christopher SherrellUNKNOWN Periprosthetic Infection Consortium
Nov 17, 2010·Clinical Orthopaedics and Related Research·Ho-Rim ChoiHenrik Malchau
Sep 23, 2011·Clinical Orthopaedics and Related Research·Javad ParviziCharalampos G Zalavras

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Citations

Feb 23, 2019·Clinical Orthopaedics and Related Research·Nicholas M HernandezMark W Pagnano
Mar 20, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alejandro Lizaur-UtrillaFernando A Lopez-Prats
Sep 11, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Claudia A M LöwikMarjan Wouthuyzen-Bakker
Dec 16, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Bertrand Boyer, Céline Cazorla
Oct 3, 2021·The Journal of Knee Surgery·Blair S Ashley, Javad Parvizi

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Methods Mentioned

BETA
amputation
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