Reinfection Rate and Its Associated Factors after Two-Stage Revision for Infected Total Knee Arthroplasty

Abstract Background: Two-stage revision is the gold standard for treatment of infected total knee arthroplasty. The purpose of our study was to evaluate the reinfection rate of two-stage revision and to analyze the factors affecting the prognosis of two-stage revision for infected total knee arthroplasty.Methods: One hundred seven cases of two-stage revision for infected total knee arthroplasty were reviewed retrospectively from March 2006 to November 2019. We evaluated possible risk factors between success and reinfection groups. Statistical analyses included multivariable logistic regression analysis to examine the relative contribution of risk factors to the success of two-stage revision. Results: There were 19 cases of reinfection (17.8%) after two-stage revision in our center. Between the success and reinfection groups, there was a significant difference in history of cancer (p=0.015). Also, multivariable logistic regression analysis of risk factors demonstrated history of cancer (HR 5.928, p=0.015). There were no statistically significant differences in reinfection relative to other risk factors. Conclusions: In subjects undergoing two-stage revision for infected total knee arthroplasty, history of cancer was a risk factor for reinfection, though no other significant differences between risk factors was shown for reinfection.Trial registration: Retrospectively registeredLevel of evidence: IV

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Timing of tibial tubercle osteotomy in two-stage revision of infected total knee arthroplasty does not affect union and reinfection rate. A systematic review

The Knee ◽

10.1016/j.knee.2020.09.008 ◽

2020 ◽

Vol 27 (6) ◽

pp. 1787-1794

Author(s):

Dimitrios Kitridis ◽

Panagiotis Givissis ◽

Byron Chalidis

Keyword(s):

Systematic Review ◽

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Tibial Tubercle ◽

Tibial Tubercle Osteotomy ◽

Two Stage ◽

Reinfection Rate ◽

Infected Total Knee Arthroplasty ◽

Total Knee

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Knee Arthrodesis Outcomes After Infected Total Knee Arthroplasty and Failure of Two-stage Revision With an Antibiotic Cement Spacer

JAAOS Global Research and Reviews ◽

10.5435/jaaosglobal-d-17-00077 ◽

2018 ◽

Vol 2 (1) ◽

pp. e077 ◽

Cited By ~ 1

Author(s):

Matthew Robinson ◽

Hristo I. Piponov ◽

Andrew Ormseth ◽

Cory W. Helder ◽

Brian Schwartz ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Cement Spacer ◽

Knee Arthrodesis ◽

Two Stage ◽

Antibiotic Cement ◽

Infected Total Knee Arthroplasty ◽

Total Knee

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The Risk Factors of Postoperative Delirium after Total Knee Arthroplasty

The Journal of Knee Surgery ◽

10.1055/s-0036-1593872 ◽

2016 ◽

Vol 30 (06) ◽

pp. 600-605 ◽

Cited By ~ 2

Author(s):

Lih Wang ◽

Sungsoo Kim ◽

Kyungtaek Kim ◽

Seunghyun Lee ◽

Kyungho Lee ◽

...

Keyword(s):

Risk Factors ◽

Total Knee Arthroplasty ◽

Hospital Stay ◽

Knee Arthroplasty ◽

Operating Time ◽

Start Time ◽

Duration Of Hospital Stay ◽

History Of ◽

Total Knee ◽

Underlying Diseases

AbstractWe investigated the results of delirium which developed after total knee arthroplasty (TKA) and the risk factors for delirium in the patients who are older than 65 years. From March 2008 to March 2012, we performed a retrospective study on 296 knees of 265 patients who were treated with TKA. They were divided into two groups: 216 patients without delirium and 49 patients diagnosed with delirium by psychiatry. We analyzed the risk factors into three categories: First, the preoperative factors including gender, age, body mass index (BMI), clinical and functional knee joint score (Knee Society Knee Score and Knee Society Function Score) and the number of underlying diseases and associations with each disease; Second, the operative factors including the anesthesia method, amount of blood loss, operating time, laboratory factors, and transfusion count; Third, the postoperative factors such as start time of walking and duration of hospital stay were analyzed. There were significant statistical difference between two groups just in age, history of dementia, cerebrovascular disease, difference of hemoglobin and albumin, start time of walking, and duration of hospital stay. The delirium after TKA delays the postoperative ambulation and extends the hospital stay, which causes functional and socioeconomic loss of patients. Therefore, the risk factors for delirium should be assessed and proper prevention and management should be conducted.

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