Periprosthetic knee infections treated with irrigation and debridement: outcomes and preoperative predictive factors. Academic Article uri icon

Overview

abstract

  • The role of irrigation and debridement (I&D) in the treatment of periprosthetic joint infections (PJI) of the knee remains controversial. Our purpose was to identify the success rate and factors determining outcome of I&D in those patients. Clinical characteristics of 78 patients with PJI of the knee treated with I&D were retrospectively reviewed. Implant retention at final follow-up was achieved in 43 patients (55.1%). Logistic regression analysis revealed that duration of symptoms >5days and thyroid disease were independent predictors of I&D failure. Patients with methicillin-resistant staphylococcal infections had a success rate of 45.5% and significantly lower odds of success compared to patients with negative cultures. In selected patients, I&D is a reasonable option in the context of acute PJI of the knee.

publication date

  • October 25, 2014

Research

keywords

  • Anti-Bacterial Agents
  • Debridement
  • Prosthesis-Related Infections
  • Therapeutic Irrigation

Identity

Scopus Document Identifier

  • 84928372990

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2014.10.026

PubMed ID

  • 25466169

Additional Document Info

volume

  • 30

issue

  • 4