Long-term outcome of the ‘Beefburger’ procedure in patients unsuitable for two-stage revision following infected total knee replacement
A 5-year review of a group of 13 patients with infected total knee replacements deemed unsuitable for two-stage revision is presented. The ‘Beefburger’ procedure was initially performed in all the patients as a ‘definitive’ procedure. Eight patients had no further procedure performed, three patients...
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| Veröffentlicht in: | The knee 2001-12, Vol.8 (4), p.281-286 |
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| container_title | The knee |
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| creator | Scott, S.J. Hennessey, M.S. Parkinson, R.W. Molloy, A.P. |
| description | A 5-year review of a group of 13 patients with infected total knee replacements deemed unsuitable for two-stage revision is presented. The ‘Beefburger’ procedure was initially performed in all the patients as a ‘definitive’ procedure. Eight patients had no further procedure performed, three patients were deemed suitable for a subsequent arthrodesis, and two went on to above-knee amputation. Three patients died within the first 6 weeks, but infection was successfully eradicated in eight of the remaining 10 patients (80%) at the time of death or latest review. At follow-up, all traceable subjects had Hospital for Special Surgery Knee Scores and SF-36 scores of below average. No significant difference was found between the ‘Beefburger’ or arthrodesis groups. In conclusion, the ‘Beefburger’ procedure gives results similar to arthrodesis and amputation in patients deemed unsuitable for two-stage revision surgery and should perhaps be considered as an option in these medically compromised patients. |
| doi_str_mv | 10.1016/S0968-0160(01)00104-1 |
| format | Article |
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The ‘Beefburger’ procedure was initially performed in all the patients as a ‘definitive’ procedure. Eight patients had no further procedure performed, three patients were deemed suitable for a subsequent arthrodesis, and two went on to above-knee amputation. Three patients died within the first 6 weeks, but infection was successfully eradicated in eight of the remaining 10 patients (80%) at the time of death or latest review. At follow-up, all traceable subjects had Hospital for Special Surgery Knee Scores and SF-36 scores of below average. No significant difference was found between the ‘Beefburger’ or arthrodesis groups. In conclusion, the ‘Beefburger’ procedure gives results similar to arthrodesis and amputation in patients deemed unsuitable for two-stage revision surgery and should perhaps be considered as an option in these medically compromised patients.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/S0968-0160(01)00104-1</identifier><identifier>PMID: 11706690</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Aged, 80 and over ; Amputation ; Anti-Bacterial Agents - administration & dosage ; Arthrodesis ; Arthroplasty, Replacement, Knee - methods ; Beefburger procedure ; Debridement ; Drug Delivery Systems ; Female ; Gentamicins - administration & dosage ; Humans ; Knee Prosthesis - adverse effects ; Male ; Middle Aged ; Prosthesis-Related Infections - surgery ; Retrospective Studies ; Total knee replacement ; Treatment Outcome</subject><ispartof>The knee, 2001-12, Vol.8 (4), p.281-286</ispartof><rights>2001 Elsevier Science B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-1f0ba1df7c1c5a07a76e8a0fd638ecff27e0257e3b37d7120abf7af48411d14e3</citedby><cites>FETCH-LOGICAL-c361t-1f0ba1df7c1c5a07a76e8a0fd638ecff27e0257e3b37d7120abf7af48411d14e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0968-0160(01)00104-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11706690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scott, S.J.</creatorcontrib><creatorcontrib>Hennessey, M.S.</creatorcontrib><creatorcontrib>Parkinson, R.W.</creatorcontrib><creatorcontrib>Molloy, A.P.</creatorcontrib><title>Long-term outcome of the ‘Beefburger’ procedure in patients unsuitable for two-stage revision following infected total knee replacement</title><title>The knee</title><addtitle>Knee</addtitle><description>A 5-year review of a group of 13 patients with infected total knee replacements deemed unsuitable for two-stage revision is presented. The ‘Beefburger’ procedure was initially performed in all the patients as a ‘definitive’ procedure. Eight patients had no further procedure performed, three patients were deemed suitable for a subsequent arthrodesis, and two went on to above-knee amputation. Three patients died within the first 6 weeks, but infection was successfully eradicated in eight of the remaining 10 patients (80%) at the time of death or latest review. At follow-up, all traceable subjects had Hospital for Special Surgery Knee Scores and SF-36 scores of below average. No significant difference was found between the ‘Beefburger’ or arthrodesis groups. In conclusion, the ‘Beefburger’ procedure gives results similar to arthrodesis and amputation in patients deemed unsuitable for two-stage revision surgery and should perhaps be considered as an option in these medically compromised patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Arthrodesis</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Beefburger procedure</subject><subject>Debridement</subject><subject>Drug Delivery Systems</subject><subject>Female</subject><subject>Gentamicins - administration & dosage</subject><subject>Humans</subject><subject>Knee Prosthesis - adverse effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prosthesis-Related Infections - surgery</subject><subject>Retrospective Studies</subject><subject>Total knee replacement</subject><subject>Treatment Outcome</subject><issn>0968-0160</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1uFDEQhS0EIpPAEYi8imDRUNU_ds8qgogA0kgsgLXldpcnTrrbE9udiF32XACul5PgyYzIkk25ZH2vSvUeY68Q3iKgePcNlqItcgevAd8AINQFPmELbGVVNC3AU7b4hxywwxgvAUAs6-Y5O0CUIMQSFuzXyk_rIlEYuZ-T8SNxb3m6IH5_9_sDke3msKZwf_eHb4I31M-BuJv4RidHU4p8nuLsku4G4tYHnm59EZNeEw9046LzU_4eBn_rpnXWWTKJep580gO_mmiLbQZtaMzDXrBnVg-RXu7fI_bj_OP3s8_F6uunL2fvV4WpBKYCLXQaeysNmkaD1FJQq8H2omrJWFtKgrKRVHWV7CWWoDsrta3bGrHHmqojdrKbmy-6nikmNbpoaBj0RH6OSpalLJeiyWCzA03wMQayahPcqMNPhaC2KaiHFNTW4lzUQwoKs-54v2DuRuofVXvbM3C6AyifeeMoqGiyndleF7JDqvfuPyv-ArD2nIE</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Scott, S.J.</creator><creator>Hennessey, M.S.</creator><creator>Parkinson, R.W.</creator><creator>Molloy, A.P.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011201</creationdate><title>Long-term outcome of the ‘Beefburger’ procedure in patients unsuitable for two-stage revision following infected total knee replacement</title><author>Scott, S.J. ; Hennessey, M.S. ; Parkinson, R.W. ; Molloy, A.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-1f0ba1df7c1c5a07a76e8a0fd638ecff27e0257e3b37d7120abf7af48411d14e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amputation</topic><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Arthrodesis</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Beefburger procedure</topic><topic>Debridement</topic><topic>Drug Delivery Systems</topic><topic>Female</topic><topic>Gentamicins - administration & dosage</topic><topic>Humans</topic><topic>Knee Prosthesis - adverse effects</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prosthesis-Related Infections - surgery</topic><topic>Retrospective Studies</topic><topic>Total knee replacement</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scott, S.J.</creatorcontrib><creatorcontrib>Hennessey, M.S.</creatorcontrib><creatorcontrib>Parkinson, R.W.</creatorcontrib><creatorcontrib>Molloy, A.P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scott, S.J.</au><au>Hennessey, M.S.</au><au>Parkinson, R.W.</au><au>Molloy, A.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term outcome of the ‘Beefburger’ procedure in patients unsuitable for two-stage revision following infected total knee replacement</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>8</volume><issue>4</issue><spage>281</spage><epage>286</epage><pages>281-286</pages><issn>0968-0160</issn><eissn>1873-5800</eissn><abstract>A 5-year review of a group of 13 patients with infected total knee replacements deemed unsuitable for two-stage revision is presented. The ‘Beefburger’ procedure was initially performed in all the patients as a ‘definitive’ procedure. Eight patients had no further procedure performed, three patients were deemed suitable for a subsequent arthrodesis, and two went on to above-knee amputation. Three patients died within the first 6 weeks, but infection was successfully eradicated in eight of the remaining 10 patients (80%) at the time of death or latest review. At follow-up, all traceable subjects had Hospital for Special Surgery Knee Scores and SF-36 scores of below average. No significant difference was found between the ‘Beefburger’ or arthrodesis groups. In conclusion, the ‘Beefburger’ procedure gives results similar to arthrodesis and amputation in patients deemed unsuitable for two-stage revision surgery and should perhaps be considered as an option in these medically compromised patients.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>11706690</pmid><doi>10.1016/S0968-0160(01)00104-1</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | The knee, 2001-12, Vol.8 (4), p.281-286 |
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| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Aged, 80 and over Amputation Anti-Bacterial Agents - administration & dosage Arthrodesis Arthroplasty, Replacement, Knee - methods Beefburger procedure Debridement Drug Delivery Systems Female Gentamicins - administration & dosage Humans Knee Prosthesis - adverse effects Male Middle Aged Prosthesis-Related Infections - surgery Retrospective Studies Total knee replacement Treatment Outcome |
| title | Long-term outcome of the ‘Beefburger’ procedure in patients unsuitable for two-stage revision following infected total knee replacement |
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