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Infection rates in patients undergoing primary knee arthroplasty with pre-existing orthopaedic fixation-devices

Standard

Infection rates in patients undergoing primary knee arthroplasty with pre-existing orthopaedic fixation-devices. / Klatte, T O; Schneider, M M; Citak, M; Oloughlin, P; Gebauer, M; Rueger, Johannes; Gehrke, T; Kendoff, D.

in: KNEE, Jahrgang 20, Nr. 3, 01.06.2013, S. 177-80.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Klatte, TO, Schneider, MM, Citak, M, Oloughlin, P, Gebauer, M, Rueger, J, Gehrke, T & Kendoff, D 2013, 'Infection rates in patients undergoing primary knee arthroplasty with pre-existing orthopaedic fixation-devices', KNEE, Jg. 20, Nr. 3, S. 177-80. https://doi.org/10.1016/j.knee.2013.02.004

APA

Klatte, T. O., Schneider, M. M., Citak, M., Oloughlin, P., Gebauer, M., Rueger, J., Gehrke, T., & Kendoff, D. (2013). Infection rates in patients undergoing primary knee arthroplasty with pre-existing orthopaedic fixation-devices. KNEE, 20(3), 177-80. https://doi.org/10.1016/j.knee.2013.02.004

Vancouver

Klatte TO, Schneider MM, Citak M, Oloughlin P, Gebauer M, Rueger J et al. Infection rates in patients undergoing primary knee arthroplasty with pre-existing orthopaedic fixation-devices. KNEE. 2013 Jun 1;20(3):177-80. https://doi.org/10.1016/j.knee.2013.02.004

Bibtex

@article{771e35dc71e6452da300ea050d686f44,
title = "Infection rates in patients undergoing primary knee arthroplasty with pre-existing orthopaedic fixation-devices",
abstract = "BACKGROUND: Prior knee surgery in the setting of knee arthroplasty (KA) can influence the overall outcome of the procedure and render the operation more technically challenging. The effects of residual fixation devices on subsequent procedures about the knee are ill-defined. Some authors claim an increase in periprosthetic infection in this cohort of patients. The objective of this study was to evaluate the overall incidence of periprosthetic infections in patients undergoing primary KA with pre-existing osteosynthetic hardware in situ.METHODS: The current investigators retrospectively reviewed 124 patients undergoing knee arthroplasty and removal of orthopaedic fixation devices, due to prior high tibial osteotomies, fracture fixation or cruciate ligament reconstruction. The exclusion criterion was a prior history of infection of the fixation device. The mean follow-up time was 5.4 years (range 15 months to 9 years). Nine patients were lost to follow-up.RESULTS: Joint aspiration was performed two weeks prior to surgery in 53 patients (42.4%) and intra-operative samples were obtained in 106 patients (84.8%), which did not show any bacterial growth. A subacute periprosthetic infection occurred after seven months in only one patient.CONCLUSION: The results of the current study demonstrate that previously implanted osteosynthetic fixation devices do not significantly increase the risk of developing periprosthetic knee infections. A two-stage procedure with implant retrieval prior to total knee arthroplasty is not clinically indicated in the cohort described, amongst whom an infection rate of 0.9% was revealed.",
keywords = "Adult, Aged, Aged, 80 and over, Arthroplasty, Replacement, Knee, Bacterial Infections, Female, Germany, Humans, Internal Fixators, Knee Prosthesis, Male, Middle Aged, Prosthesis-Related Infections, Retrospective Studies, Risk Factors",
author = "Klatte, {T O} and Schneider, {M M} and M Citak and P Oloughlin and M Gebauer and Johannes Rueger and T Gehrke and D Kendoff",
note = "Copyright {\textcopyright} 2013 Elsevier B.V. All rights reserved.",
year = "2013",
month = jun,
day = "1",
doi = "10.1016/j.knee.2013.02.004",
language = "English",
volume = "20",
pages = "177--80",
journal = "KNEE",
issn = "0968-0160",
publisher = "Elsevier",
number = "3",

}

RIS

TY - JOUR

T1 - Infection rates in patients undergoing primary knee arthroplasty with pre-existing orthopaedic fixation-devices

AU - Klatte, T O

AU - Schneider, M M

AU - Citak, M

AU - Oloughlin, P

AU - Gebauer, M

AU - Rueger, Johannes

AU - Gehrke, T

AU - Kendoff, D

N1 - Copyright © 2013 Elsevier B.V. All rights reserved.

PY - 2013/6/1

Y1 - 2013/6/1

N2 - BACKGROUND: Prior knee surgery in the setting of knee arthroplasty (KA) can influence the overall outcome of the procedure and render the operation more technically challenging. The effects of residual fixation devices on subsequent procedures about the knee are ill-defined. Some authors claim an increase in periprosthetic infection in this cohort of patients. The objective of this study was to evaluate the overall incidence of periprosthetic infections in patients undergoing primary KA with pre-existing osteosynthetic hardware in situ.METHODS: The current investigators retrospectively reviewed 124 patients undergoing knee arthroplasty and removal of orthopaedic fixation devices, due to prior high tibial osteotomies, fracture fixation or cruciate ligament reconstruction. The exclusion criterion was a prior history of infection of the fixation device. The mean follow-up time was 5.4 years (range 15 months to 9 years). Nine patients were lost to follow-up.RESULTS: Joint aspiration was performed two weeks prior to surgery in 53 patients (42.4%) and intra-operative samples were obtained in 106 patients (84.8%), which did not show any bacterial growth. A subacute periprosthetic infection occurred after seven months in only one patient.CONCLUSION: The results of the current study demonstrate that previously implanted osteosynthetic fixation devices do not significantly increase the risk of developing periprosthetic knee infections. A two-stage procedure with implant retrieval prior to total knee arthroplasty is not clinically indicated in the cohort described, amongst whom an infection rate of 0.9% was revealed.

AB - BACKGROUND: Prior knee surgery in the setting of knee arthroplasty (KA) can influence the overall outcome of the procedure and render the operation more technically challenging. The effects of residual fixation devices on subsequent procedures about the knee are ill-defined. Some authors claim an increase in periprosthetic infection in this cohort of patients. The objective of this study was to evaluate the overall incidence of periprosthetic infections in patients undergoing primary KA with pre-existing osteosynthetic hardware in situ.METHODS: The current investigators retrospectively reviewed 124 patients undergoing knee arthroplasty and removal of orthopaedic fixation devices, due to prior high tibial osteotomies, fracture fixation or cruciate ligament reconstruction. The exclusion criterion was a prior history of infection of the fixation device. The mean follow-up time was 5.4 years (range 15 months to 9 years). Nine patients were lost to follow-up.RESULTS: Joint aspiration was performed two weeks prior to surgery in 53 patients (42.4%) and intra-operative samples were obtained in 106 patients (84.8%), which did not show any bacterial growth. A subacute periprosthetic infection occurred after seven months in only one patient.CONCLUSION: The results of the current study demonstrate that previously implanted osteosynthetic fixation devices do not significantly increase the risk of developing periprosthetic knee infections. A two-stage procedure with implant retrieval prior to total knee arthroplasty is not clinically indicated in the cohort described, amongst whom an infection rate of 0.9% was revealed.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Arthroplasty, Replacement, Knee

KW - Bacterial Infections

KW - Female

KW - Germany

KW - Humans

KW - Internal Fixators

KW - Knee Prosthesis

KW - Male

KW - Middle Aged

KW - Prosthesis-Related Infections

KW - Retrospective Studies

KW - Risk Factors

U2 - 10.1016/j.knee.2013.02.004

DO - 10.1016/j.knee.2013.02.004

M3 - SCORING: Journal article

C2 - 23540939

VL - 20

SP - 177

EP - 180

JO - KNEE

JF - KNEE

SN - 0968-0160

IS - 3

ER -