Periprosthetic Joint Infection Does Not Preclude Good Outcomes after a Revision Total Knee Arthroplasty: A 7-Year Follow-Up Study of 144 Retrospective Cases
المؤلفون المشاركون
Ro, Du Hyun
Han, Hyuk-Soo
Lee, Myung Chul
Kim, Jong-Keun
Kim, Sunghwan
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-12
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background and Purpose.
Debate exists on whether septic revision total knee arthroplasty (TKA) results in inferior clinical outcomes, and limited information is available regarding the factors associated with such outcomes.
This study aimed to (1) compare clinical outcomes and characteristics of aseptic versus septic revision TKA and (2) identify the risk factors associated with inferior clinical outcomes.
Methods.
We retrospectively reviewed 144 revision TKAs (90 aseptic and 54 septic revisions) that were followed for a minimum of 3 years (mean = 7 years).
Clinical outcome data, namely, Knee Society knee and function scores and the Hospital for Special Surgery knee score, were collected.
We reviewed 13 pre- and intraoperative variables.
Results.
Postoperative clinical outcomes were inferior in septic revision surgeries (p<0.05).
In regression analyses, however, septic revision was not an independent risk factor for poor clinical outcomes.
The independent risk factors for poor outcome were identified where Anderson Orthopedic Research Institute grade 3 femoral and tibial bone defects, more than three surgeries, and treatment for persistent infection were associated with inferior clinical outcomes (all p<0.05).
Standard two-stage septic revision without grade 3 bone defects or additional surgeries showed comparable outcomes to aseptic revision.
Interpretation.
Clinical outcomes of septic revision were inferior to those of aseptic revision.
However, poor outcomes were mainly associated with large bone defects and an increased number of surgeries.
The outcomes of aseptic and septic revision surgery were similar when patients with larger bone defects and more than three surgeries were excluded.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ro, Du Hyun& Kim, Jong-Keun& Kim, Sunghwan& Han, Hyuk-Soo& Lee, Myung Chul. 2018. Periprosthetic Joint Infection Does Not Preclude Good Outcomes after a Revision Total Knee Arthroplasty: A 7-Year Follow-Up Study of 144 Retrospective Cases. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125125
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ro, Du Hyun…[et al.]. Periprosthetic Joint Infection Does Not Preclude Good Outcomes after a Revision Total Knee Arthroplasty: A 7-Year Follow-Up Study of 144 Retrospective Cases. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1125125
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ro, Du Hyun& Kim, Jong-Keun& Kim, Sunghwan& Han, Hyuk-Soo& Lee, Myung Chul. Periprosthetic Joint Infection Does Not Preclude Good Outcomes after a Revision Total Knee Arthroplasty: A 7-Year Follow-Up Study of 144 Retrospective Cases. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125125
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1125125
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر