scholarly journals Risk of reinfection after two‐ or multiple‐stage knee revision surgery using superficial vancomycin coating and conventional spacers

2020 ◽  
Author(s):  
Florian Amerstorfer ◽  
Martina Schober ◽  
Thomas Valentin ◽  
Sebastian Klim ◽  
Andreas Leithner ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Knee Revision Surgery ◽  
Knee Revision

Extended Routine Follow-up of Primary Uncomplicated Hip and Knee Arthroplasty is not Necessary

2019 ◽  
Vol 13 (1) ◽  
pp. 266-271
Author(s):  
Georgina Kakra Wartemberg ◽  
Thomas Goff ◽  
Simon Jones ◽  
James Newman
Keyword(s):  
Aseptic Loosening ◽  
Revision Surgery ◽  
Revision Arthroplasty ◽  
Cost Effective ◽  
Face To Face ◽  
Primary Surgery ◽  
Effective System ◽  
Knee Revision Surgery ◽  
Knee Revision

Aims: To create a more effective system to identify patients in need of revision surgery. Background: There are over 160,000 total hip and knee replacements performed per year in England and Wales. Currently, most trusts review patients for up to 10 years or more. When we consider the cost of prolonged reviews, we cannot justify the expenditure within a limited budget. Study Design & Methods: We reviewed all patients' notes that underwent primary hip and knee revision surgery at our institution, noting age, gender, symptoms at presentation, referral source, details of the surgery, reason for revision and follow up history from primary surgery. Results: There were 145 revision arthroplasties (60 THR and 85 TKR) that met our inclusion criteria. Within the hip arthroplasty group, indications for revision included aseptic loosening (37), dislocation (10), and infection (3), periprosthetic fracture, acetabular liner wear and implant failure. All thirty-seven patients with aseptic loosening presented with pain. Twenty-five were referred from general practice with new symptoms. The remaining were clinic follow-ups. The most common reason for knee revision was aseptic loosening (37), followed by infection (21) and then progressive osteoarthritis (8). Most were referred from GP as a new referral or were clinic follow-ups. All patients were symptomatic. Conclusion: All the patients that underwent revision arthroplasty were symptomatic. Rather than yearly follow up, we recommend a cost-effective system. We are implementing a 'non face-to-face' system. Patients would be directly sent a questionnaire and x-ray form. The radiographs and forms will be reviewed by an experienced arthroplasty surgeon. The concerning cases will be seen urgently in a face-to-face clinic.

Reduced bleeding through temporary balloon occlusion in hip and knee revision surgery

2000 ◽  
Vol 71 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Gösta Ullmark ◽  
Lennart Hovelius ◽  
Lars Strindberg ◽  
Anders Wallner
Keyword(s):  
Revision Surgery ◽  
Balloon Occlusion ◽  
Knee Revision Surgery ◽  
Knee Revision ◽  
Temporary Balloon Occlusion

scholarly journals Bone loss management in total knee revision surgery

2014 ◽  
Vol 38 (2) ◽  
pp. 419-427 ◽  
Author(s):  
Gabriele Panegrossi ◽  
Marco Ceretti ◽  
Matteo Papalia ◽  
Filippo Casella ◽  
Fabio Favetti ◽  
...  
Keyword(s):  
Bone Loss ◽  
Revision Surgery ◽  
Knee Revision Surgery ◽  
Total Knee ◽  
Knee Revision

Is There a Place for Rotating-Hinge Arthroplasty in Knee Revision Surgery for Aseptic Loosening?

2008 ◽  
Vol 23 (8) ◽  
pp. 1204-1211 ◽  
Author(s):  
Nayana Joshi ◽  
Antonio Navarro-Quilis
Keyword(s):  
Aseptic Loosening ◽  
Revision Surgery ◽  
Knee Revision Surgery ◽  
Rotating Hinge ◽  
Knee Revision

scholarly journals Are Periprosthetic Tissue Reactions Observed After Revision of Total Disc Replacement Comparable to the Reactions Observed After Total Hip or Knee Revision Surgery?

Spine ◽  
2012 ◽  
Vol 37 (2) ◽  
pp. 150-159 ◽  
Author(s):  
Ilona M. Punt ◽  
Shennah Austen ◽  
Jack P. M. Cleutjens ◽  
Steven M. Kurtz ◽  
René H. M. ten Broeke ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Total Disc Replacement ◽  
Disc Replacement ◽  
Periprosthetic Tissue ◽  
Total Hip ◽  
Knee Revision Surgery ◽  
Tissue Reactions ◽  
Knee Revision

“Thermal scissor” stabilizing pin removal tool for knee revision surgery: For use in Stryker Triathlon total stabilizing system revisions

2014 ◽  
Author(s):  
Desiree Espitia ◽  
Marc Mitchell ◽  
David Echevarria ◽  
Jaslyn George ◽  
Sean Richards
Keyword(s):  
Revision Surgery ◽  
Knee Revision Surgery ◽  
Knee Revision

scholarly journals Elevated ESR and CRP Prior to Second-Stage Reimplantation Knee Revision Surgery for Periprosthetic Joint Infection Are Associated with Increased Reinfection Rates

2021 ◽  
Author(s):  
Christian Klemt ◽  
Anand Padmanabha ◽  
John G. Esposito ◽  
Samuel Laurencin ◽  
Evan J. Smith ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Elevated Serum ◽  
Revision Total Knee Arthroplasty ◽  
Optimal Timing ◽  
Two Stage ◽  
Second Stage ◽  
Knee Revision Surgery ◽  
Knee Revision

Abstract Purpose Although two-stage revision surgery is considered as the most effective treatment for managing chronic periprosthetic joint infection (PJI), there is no current consensus on the predictors of optimal timing to second-stage reimplantation. This study aimed to compare clinical outcomes between patients with elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) prior to second-stage reimplantation and those with normalized ESR and CRP prior to second-stage reimplantation. Methods We retrospectively reviewed 198 patients treated with two-stage revision total knee arthroplasty for chronic PJI. Cohorts included patients with: (1) normal level of serum ESR and CRP (n = 96) and (2) elevated level of serum ESR and CRP prior to second-stage reimplantation (n = 102). Outcomes including reinfection rates and readmission rates were compared between both cohorts. Result At a mean follow-up of 4.4 years (2.8–6.5 years), the elevated ESR and CRP cohort demonstrated significantly higher reinfection rates compared with patients with normalized ESR and CRP prior to second-stage reimplantation (33.3% vs. 14.5%, p < 0.01). Patients with both elevated ESR and CRP demonstrated significantly higher reinfection rates, when compared with patients with elevated ESR and normalized CRP (33.3% vs. 27.6%, p = 0.02) as well as normalized ESR and elevated CRP (33.3% vs. 26.3%, p < 0.01). Conclusion This study demonstrates that elevated serum ESR and/or CRP levels prior to reimplantation in two-stage knee revision surgery for chronic PJI are associated with increased reinfection rate after surgery. Elevation of both ESR and CRP were associated with a higher risk of reinfection compared with elevation of either ESR or CRP, suggesting the potential benefits of normalizing ESR and CRP prior to reimplantation in treatment of chronic PJI.

scholarly journals Diagnosis of infection in hip and knee revision surgery: intraoperative frozen section analysis

2006 ◽  
Vol 31 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Alberto Francés Borrego ◽  
Fernando Marco Martínez ◽  
Juan Luis Cebrian Parra ◽  
David Serfaty Grañeda ◽  
Rodrigo García Crespo ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Frozen Section ◽  
Intraoperative Frozen Section ◽  
Frozen Section Analysis ◽  
Knee Revision Surgery ◽  
Knee Revision ◽  
Diagnosis Of Infection ◽  
Section Analysis

scholarly journals Popliteal lesion due to traction during unicompartmental knee revision surgery

2013 ◽  
Vol 10 (1) ◽  
pp. 38-40 ◽  
Author(s):  
Bart Kerens ◽  
Bert Boonen ◽  
Martijn G.M. Schotanus ◽  
Nanne P. Kort
Keyword(s):  
Revision Surgery ◽  
Unicompartmental Knee ◽  
Knee Revision Surgery ◽  
Knee Revision
Sign in / Sign up

Export Citation Format

Share Document