Timing of and risk factors for deep surgical site infection requiring implant removal following canine tibial plateau leveling osteotomy

2021 ◽  
Author(s):  
Renee A. McDougall ◽  
Daniel I. Spector ◽  
Robert C. Hart ◽  
David L. Dycus ◽  
Hollis N. Erb
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Tibial Plateau ◽  
Implant Removal ◽  
Site Infection ◽  
Deep Surgical Site Infection

Risk factors for deep surgical site infection in patients with operatively treated tibial plateau fractures

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ralf Henkelmann ◽  
Karl-Heinz Frosch ◽  
Meinhard Mende ◽  
Tobias J. Gensior ◽  
Christopher Ull ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Site Infection ◽  
Deep Surgical Site Infection

scholarly journals Incidence, Management and Outcome of Delayed Deep Surgical Site Infection Following Spinal Deformity Surgery: 20-Year Experience at a Single Institution

2020 ◽  
pp. 219256822097822
Author(s):  
Muyi Wang ◽  
Liang Xu ◽  
Bo Yang ◽  
Changzhi Du ◽  
Zezhang Zhu ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Spinal Deformity ◽  
Recurrent Infection ◽  
Implant Removal ◽  
Site Infection ◽  
Initial Surgery ◽  
Spinal Deformity Surgery ◽  
Solid Fusion ◽  
Deep Surgical Site Infection

Study Design: A retrospective study. Objectives: To investigate the incidence, management and outcome of delayed deep surgical site infection (SSI) after the spinal deformity surgery. Methods: This study reviewed 5044 consecutive patients who underwent spinal deformity corrective surgery and had been followed over 2 years. Delayed deep SSI were defined as infection involving fascia and muscle and occurring >3 months after the initial procedure. An attempt to retain the implant were initially made for all patients. If the infection failed to be eradicated, the implant removal should be put off until solid fusion was confirmed, usually more than 2 years after the initial surgery. Radiographic data at latest follow-up were compared versus that before implant removal. Results: With an average follow-up of 5.3 years, 56 (1.1%) patients were diagnosed as delayed deep SSI. Seven (12.5%) patients successfully retained instrumentation and there were no signs of recurrence during follow-up (average 3.4 years). The remaining patients, because of persistent or recurrent infection, underwent implant removal 2 years or beyond after the primary surgery, and solid fusion was detected in any case. However, at a minimum 1-year follow-up (average 3.9 years), an average loss of 9° in the thoracic curve and 8° in the thoracolumbar/lumbar curves was still observed. Conclusions: Delayed deep SSI was rare after spinal deformity surgery. To eradicate infection, complete removal of implant may be required in the majority of delayed SSI. Surgeons must be aware of high likelihood of deformity progression after implant removal, despite radiographic solid fusion.

Risk Factors for Deep Surgical Site Infection Following Operative Treatment of Ankle Fractures

2013 ◽  
Vol 95 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Mikko T Ovaska ◽  
Tatu J Mäkinen ◽  
Rami Madanat ◽  
Kaisa Huotari ◽  
Tero Vahlberg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Operative Treatment ◽  
Ankle Fractures ◽  
Site Infection ◽  
Deep Surgical Site Infection

Outcome following removal of TPLO implants with surgical site infection

2013 ◽  
Vol 26 (04) ◽  
pp. 260-265 ◽  
Author(s):  
B. Beale ◽  
R. Murtaugh ◽  
J. Swiderski-Hazlett ◽  
M. Unis ◽  
R. Savicky
Keyword(s):  
Surgical Site Infection ◽  
Surgical Procedures ◽  
Medical Management ◽  
Postoperative Infection ◽  
Tibial Plateau ◽  
Clinical Signs ◽  
Implant Removal ◽  
Site Infection ◽  
New Generation ◽  
Postoperative Infection Rate

SummaryObjective To evaluate the outcome of surgical site infection (SSI) associated with tibial plateau levelling osteotomy (TPLO) implants following treatment by medical management alone or implant removal with or without the administration of antibiotic medication.Animals Ninety dogs (104 TPLO surgical procedures).Methods Records of dogs that had undergone TPLO implant removal due to SSI were reviewed. Outcome following treatment with antibiotic medications without implant removal, and treatment with implant removal with and without the administration of antibiotic medications was evaluated.Results Treatment of SSI with antibiotic medication alone failed in 88.9% (64/72) of the dogs. The clinical signs of SSI resolved in 94.9% (74/78) of the dogs treated with implant removal (with and without the administration of antibiotic medication postimplant removal). The effect of administration of antibiotic medication on outcome of treatment of the SSI by implant removal was not significant. The rate of SSI associated with the Synthes implant was higher than with the Slocum implant, but not the New Generation implant.Conclusion Implant removal with or without the administration of antibiotic medication post-implant removal for treatment of TPLO SSI provided superior outcome compared to treatment with antibiotic medications without implant removal.Clinical significance Implant removal should be considered for TPLO SSI that have not responded to appropriate medical management. Further investigation of the various TPLO implants and their effects on postoperative infection rate is warranted.

Risk factors for implant removal after spinal surgical site infection

2017 ◽  
Vol 27 (10) ◽  
pp. 2481-2490 ◽  
Author(s):  
Naoya Tsubouchi ◽  
Shunsuke Fujibayashi ◽  
Bungo Otsuki ◽  
Masanori Izeki ◽  
Hiroaki Kimura ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Implant Removal ◽  
Site Infection

Incidence and Risk Factors for Deep Surgical Site Infection After Primary Total Hip Arthroplasty: A Systematic Review

2010 ◽  
Vol 25 (8) ◽  
pp. 1216-1222.e3 ◽  
Author(s):  
Donna M. Urquhart ◽  
Fahad S. Hanna ◽  
Sharon L. Brennan ◽  
Anita E. Wluka ◽  
Karin Leder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Surgical Site Infection ◽  
Hip Arthroplasty ◽  
Site Infection ◽  
Total Hip ◽  
Deep Surgical Site Infection ◽  
Primary Total Hip Arthroplasty
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