Incidence of Prosthetic Joint Infections After Primary Knee Arthroplasty

被引：155

作者：

Jaemsen, Esa ^{[1
,2
]}

Varonen, Markku ^{[2
]}

Huhtala, Heini ^{[3
]}

Lehto, Matti U. K.

Lumio, Jukka ^{[4
]}

Konttinen, Yrjoe T. ^{[1
,5
]}

Moilanen, Teemu ^{[1
]}

机构：

[1] Hosp Joint Replacement, Coxa, Tampere 33101, Finland

[2] Univ Tampere, Sch Med, FIN-33101 Tampere, Finland

[3] Univ Tampere, Tampere Sch Publ Hlth, FIN-33101 Tampere, Finland

[4] Tampere Univ Hosp, Div Infect Dis, Dept Med, Tampere, Finland

[5] Univ Helsinki, Cent Hosp, Dept Med Invartes Med, FIN-00014 Helsinki, Finland

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 01期

关键词：

postoperative infection; knee arthroplasty; surveillance; risk factors; SURGICAL SITE INFECTION; SURVEILLANCE; REPLACEMENT; OUTCOMES; VOLUME;

D O I：

10.1016/j.arth.2008.10.013

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 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.

引用

页码：87 / 92

页数：6

共 25 条

[1] Does obesity influence the clinical outcome at five years following total knee replacement for osteoarthritis? [J].

Amin, AK ;

Patton, JT ;

Cook, RE ;

Brenkel, IJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (03) :335-340

[2] Risk factors for prosthetic joint infection: Case-control study [J].

Berbari, EF ;

Hanssen, AD ;

Duffy, MC ;

Steckelberg, JM ;

Ilstrup, DM ;

Harmsen, WS ;

Osmon, DR .

CLINICAL INFECTIOUS DISEASES, 1998, 27 (05) :1247-1254

[3] Infection after total knee arthroplasty [J].

Blom, AW ;

Brown, J ;

Taylor, AH ;

Pattison, G ;

Whitehouse, S ;

Bannister, GC .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2004, 86B (05) :688-691

[4] NATIONAL NOSOCOMIAL INFECTIONS SURVEILLANCE SYSTEM (NNIS) - DESCRIPTION OF SURVEILLANCE METHODS [J].

EMORI, TG ;

CULVER, DH ;

HORAN, TC ;

JARVIS, WR ;

WHITE, JW ;

OLSON, DR ;

BANERJEE, S ;

EDWARDS, JR ;

MARTONE, WJ ;

GAYNES, RP ;

HUGHES, JM .

AMERICAN JOURNAL OF INFECTION CONTROL, 1991, 19 (01) :19-35

[5] The obesity epidemic - Its effect on total joint arthroplasty [J].

Fehring, Thomas K. ;

Odum, Susan M. ;

Griffin, William L. ;

Mason, J. Bohannon ;

Mccoy, Thomas H. .

JOURNAL OF ARTHROPLASTY, 2007, 22 (06) :71-76

[6] The outcome of total knee arthroplasty in obese patients [J].

Foran, JRH ;

Mont, MA ;

Etienne, G ;

Jones, LC ;

Hungerford, DS .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (08) :1609-1615

[7] Failure mechanisms after unicompartmental and tricompartmental primary knee replacement with cement [J].

Furnes, O. ;

Espehaug, B. ;

Lie, S. A. ;

Vollset, S. E. ;

Engesaeter, L. B. ;

Havelin, L. I. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (03) :519-525

[8] DEEP SEPSIS FOLLOWING TOTAL KNEE ARTHROPLASTY - 10-YEAR EXPERIENCE AT THE UNIVERSITY-OF-CALIFORNIA AT LOS-ANGELES-MEDICAL-CENTER [J].

GROGAN, TJ ;

DOREY, F ;

ROLLINS, J ;

AMSTUTZ, HC .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (02) :226-234

[9] Patient outcomes after knee replacement [J].

Heck, DA ;

Robinson, RL ;

Partridge, CM ;

Lubitz, RM ;

Freund, DA .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1998, (356) :93-110

[10] Provider volume of total knee arthroplasties and patient outcomes in the HCUP-nationwide inpatient sample [J].

Hervey, SL ;

Purves, HR ;

Guller, U ;

Toth, AP ;

Vail, TP ;

Pietrobon, R .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (09) :1775-1783

← 1 2 3 →