Incidence of Prosthetic Joint Infections After Primary Knee Arthroplasty
Abstract We report the 1-year incidence of postoperative infections in an unselected series of 2647 consecutive primary knee arthroplasties (3137 knees) performed in a modern specialized hospital dedicated solely to joint arthroplasty surgery in 2002 to 2006. The rates of superficial and prosthetic...
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Veröffentlicht in: | The Journal of arthroplasty 2010, Vol.25 (1), p.87-92 |
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creator | Jämsen, Esa, BM Varonen, Markku, BM Huhtala, Heini, MSc Lehto, Matti U.K., MD, PhD Lumio, Jukka, MD, PhD Konttinen, Yrjö T., MD, PhD Moilanen, Teemu, MD, PhD |
description | Abstract We report the 1-year incidence of postoperative infections in an unselected series of 2647 consecutive primary knee arthroplasties (3137 knees) performed in a modern specialized hospital dedicated solely to joint arthroplasty surgery in 2002 to 2006. The rates of superficial and prosthetic joint infections were 2.9% and 0.80%, respectively. Prospective surveillance by hospital infection register failed to detect 6 of the 24 prosthetic joint infections. Increased rate of prosthetic joint infections was associated with complex surgery and with several patient-related factors, for example, comorbidity, obesity, and poor preoperative clinical state. The rate of prosthetic joint infections in contemporary knee arthroplasty is low and mainly related to patient-related factors, of which patient comorbidity has the most profound effect on the infection rate. |
doi_str_mv | 10.1016/j.arth.2008.10.013 |
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The rates of superficial and prosthetic joint infections were 2.9% and 0.80%, respectively. Prospective surveillance by hospital infection register failed to detect 6 of the 24 prosthetic joint infections. Increased rate of prosthetic joint infections was associated with complex surgery and with several patient-related factors, for example, comorbidity, obesity, and poor preoperative clinical state. 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The rates of superficial and prosthetic joint infections were 2.9% and 0.80%, respectively. Prospective surveillance by hospital infection register failed to detect 6 of the 24 prosthetic joint infections. Increased rate of prosthetic joint infections was associated with complex surgery and with several patient-related factors, for example, comorbidity, obesity, and poor preoperative clinical state. The rate of prosthetic joint infections in contemporary knee arthroplasty is low and mainly related to patient-related factors, of which patient comorbidity has the most profound effect on the infection rate.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibiotic Prophylaxis</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>knee arthroplasty</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>postoperative infection</subject><subject>Prosthesis-Related Infections - epidemiology</subject><subject>Prosthesis-Related Infections - etiology</subject><subject>Prosthesis-Related Infections - therapy</subject><subject>Risk Factors</subject><subject>surveillance</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9LKzEUxYM80frnC7iQ2b3V1JtJMpOCCEWeWhUU1HWYZm4wdZrUJH3Qb2-GFgQXrgKXc87N_R1CziiMKdD6YjFuQ3ofVwAyD8ZA2R4ZUcGqUnKo_5ARSMlKwYEdkqMYFwCUCsEPyCGdgKgrCiNyN3Padug0Ft4Uz8HH9I7J6uLeW5eKmTOok_UuFlOTMGSFXbZhUzw4xGKa1we_6tuYNidk37R9xNPde0zebv69Xt-Vj0-3s-vpY6l5U6eyBtEyIyaM15rLxgghTdPIpmVzkBVlVUMpzFnHtZAdF9pMtNZUIoBhfI6MHZO_29xV8J9rjEktbdTY961Dv46qYWwCvOIyK6utUuerYkCjVtvPKwpqAKgWagCoBoDDLAPMpvNd_Hq-xO7bsiOWBZdbAeYj_1sMKmo78OtsyKhU5-3v-Vc_7Lq3zuq2_8ANxoVfB5fxKapipUC9DBUODYLMIbk-9gXeIpVM</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Jämsen, Esa, BM</creator><creator>Varonen, Markku, BM</creator><creator>Huhtala, Heini, MSc</creator><creator>Lehto, Matti U.K., MD, PhD</creator><creator>Lumio, Jukka, MD, PhD</creator><creator>Konttinen, Yrjö T., MD, PhD</creator><creator>Moilanen, Teemu, MD, PhD</creator><general>Elsevier Inc</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>2010</creationdate><title>Incidence of Prosthetic Joint Infections After Primary Knee Arthroplasty</title><author>Jämsen, Esa, BM ; 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subjects | Adult Aged Aged, 80 and over Antibiotic Prophylaxis Arthroplasty, Replacement, Knee Female Humans Incidence knee arthroplasty Male Middle Aged Orthopedics postoperative infection Prosthesis-Related Infections - epidemiology Prosthesis-Related Infections - etiology Prosthesis-Related Infections - therapy Risk Factors surveillance |
title | Incidence of Prosthetic Joint Infections After Primary Knee Arthroplasty |
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