Periprosthetic Knee Infections Treated with Irrigation and Debridement: Outcomes and Preoperative Predictive Factors

被引：46
作者：
Triantafyllopoulos, Georgios K. [1 ]
Poultsides, Lazaros A. [1 ]
Zhang, Wei [2 ]
Sculco, Peter K. [1 ]
Ma, Yan [2 ]
Sculco, Thomas P. [1 ]
机构：
[1] Cornell Univ, Hosp Special Surg, Weill Med Coll, Dept Orthopaed Surg,Div Adult Reconstruct & Joint, New York, NY 10021 USA
[2] George Washington Univ, Dept Epidemiol & Biostat, Washington, DC 20052 USA
来源：
JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 04期
关键词：
periprosthetic joint infections; knee; irrigation; debridement; outcomes; predictive factors; PROSTHETIC JOINT INFECTIONS; TOTAL HIP; ARTHROSCOPIC DEBRIDEMENT; IMPLANT RETENTION; DAIR DEBRIDEMENT; 2-STAGE REVISION; ARTHROPLASTY; MANAGEMENT; MICROBIOLOGY; ANTIBIOTICS;
D O I：
10.1016/j.arth.2014.10.026
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The role of irrigation and debridement (I&D) in the treatment of periprosthetic joint infections (PJI) of the knee remains controversial. Our purpose was to identify the success rate and factors determining outcome of I&D in those patients. Clinical characteristics of 78 patients with PJI of the knee treated with I&D were retrospectively reviewed. Implant retention at final follow-up was achieved in 43 patients (55.1%). Logistic regression analysis revealed that duration of symptoms >5 days and thyroid disease were independent predictors of I&D failure. Patients with methicillin-resistant staphylococcal infections had a success rate of 45.5% and significantly lower odds of success compared to patients with negative cultures. In selected patients, I&D is a reasonable option in the context of acute PJI of the knee. (C) 2014 Elsevier Inc. All rights reserved.
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页码：649 / 657
页数：9
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