Antibiotic Bone Cement and the Incidence of Deep Infection after Total Knee Arthroplasty

被引：39

作者：

Gandhi, Rajiv ^{[1
]}

Razak, Fahad ^{[1
,2
]}

Pathy, Rubini ^{[1
]}

Davey, J. Roderick ^{[1
]}

Syed, Khalid ^{[1
]}

Mahomed, Nizar N. ^{[1
]}

机构：

[1] Univ Toronto, Div Orthoped Surg, Toronto, ON, Canada

[2] McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 07期

关键词：

knee arthroplasty; infection; antibiotic cement; prophylaxis; CEFUROXIME-IMPREGNATED CEMENT; EMERGING STANDARD; PROPHYLACTIC USE; HIP;

D O I：

10.1016/j.arth.2008.08.004

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：

We asked if the use of antibiotic-laden bone cement (ALBC) decreased the deep infection rate after primary total knee arthroplasty as compared to plain bone cement. We surveyed 1625 consecutive patients for relevant covariates. Joint pain and function were assessed at baseline and at 1 year of follow-up) With the Western Ontario McMaster University Osteoarthritis Index scores. The incidence of deep infection at 1-year follow-up) was recorded. There were no differences in baseline covariates between groups (P > .05). We found a deep infection rate of 2.2% in the ALBC group and 3.1%, in the plain bone cement group (P = .27). Adjusted analysis showed that ALBC was not predictive of a lower infection rate at 1 year (P = .84). Antibiotic-laden bone cement did not reduce the incidence of deep infection following primary total knee arthroplasty at 1-year follow-up.

引用

页码：1015 / 1018

页数：4

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