Infected primary knee arthroplasty: Risk factors for surgical treatment failure
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000500432 |
Resumo: | OBJECTIVE: To present epidemiological data and risk factors associated with surgical out-comes favorable or unfavorable for the treatment of infection in infected total knee arthroplasty. METHODS: We reviewed medical records of 48 patients who underwent treatment of primary total knee arthroplasty for infection between January 1994 and December 2008, in the Orthopedics and Traumatology Department of the Santa Casa de Misericórdia de São Paulo. The variables associated with favorable outcome of surgical treatment (debridement and retention or exchange arthroplasty in two days) or unfavorable (arthrodesis or death) infection. RESULTS: A total of 39 cases of infection after primary total knee arthroplasty, 22 progressed to 17 for a favorable outcome and unfavorable outcome. Early infections (OR: 14.0, 95% CI 1.5-133.2, p = 0.016) and diabetes (OR: 11.3, 95% CI 1.4-89.3, p = 0.032) were associated with arthrodesis joint and death respectively. CONCLUSION: Patients with early infection had a higher risk of developing surgical procedure with unfavorable outcome (arthrodesis) and diabetics had higher odds of death after infection of primary knee arthroplasties. |
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Infected primary knee arthroplasty: Risk factors for surgical treatment failureKnee arthroplasty HumansBacterial infections/diagnosisBacterial infections/therapy OBJECTIVE: To present epidemiological data and risk factors associated with surgical out-comes favorable or unfavorable for the treatment of infection in infected total knee arthroplasty. METHODS: We reviewed medical records of 48 patients who underwent treatment of primary total knee arthroplasty for infection between January 1994 and December 2008, in the Orthopedics and Traumatology Department of the Santa Casa de Misericórdia de São Paulo. The variables associated with favorable outcome of surgical treatment (debridement and retention or exchange arthroplasty in two days) or unfavorable (arthrodesis or death) infection. RESULTS: A total of 39 cases of infection after primary total knee arthroplasty, 22 progressed to 17 for a favorable outcome and unfavorable outcome. Early infections (OR: 14.0, 95% CI 1.5-133.2, p = 0.016) and diabetes (OR: 11.3, 95% CI 1.4-89.3, p = 0.032) were associated with arthrodesis joint and death respectively. CONCLUSION: Patients with early infection had a higher risk of developing surgical procedure with unfavorable outcome (arthrodesis) and diabetics had higher odds of death after infection of primary knee arthroplasties. Sociedade Brasileira de Ortopedia e Traumatologia2013-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000500432Revista Brasileira de Ortopedia v.48 n.5 2013reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2012.10.006info:eu-repo/semantics/openAccessPradella,Joao Gabriel Duarte PaesBovo,MiguelSalles,Mauro Jose CostaKlautau,Giselle BurlamaquiCamargo,Osmar Arbix Pedro deCury,Ricardo de Paula Leiteeng2014-02-25T00:00:00Zoai:scielo:S0102-36162013000500432Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2014-02-25T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure |
title |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure |
spellingShingle |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure Pradella,Joao Gabriel Duarte Paes Knee arthroplasty Humans Bacterial infections/diagnosis Bacterial infections/therapy |
title_short |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure |
title_full |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure |
title_fullStr |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure |
title_full_unstemmed |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure |
title_sort |
Infected primary knee arthroplasty: Risk factors for surgical treatment failure |
author |
Pradella,Joao Gabriel Duarte Paes |
author_facet |
Pradella,Joao Gabriel Duarte Paes Bovo,Miguel Salles,Mauro Jose Costa Klautau,Giselle Burlamaqui Camargo,Osmar Arbix Pedro de Cury,Ricardo de Paula Leite |
author_role |
author |
author2 |
Bovo,Miguel Salles,Mauro Jose Costa Klautau,Giselle Burlamaqui Camargo,Osmar Arbix Pedro de Cury,Ricardo de Paula Leite |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pradella,Joao Gabriel Duarte Paes Bovo,Miguel Salles,Mauro Jose Costa Klautau,Giselle Burlamaqui Camargo,Osmar Arbix Pedro de Cury,Ricardo de Paula Leite |
dc.subject.por.fl_str_mv |
Knee arthroplasty Humans Bacterial infections/diagnosis Bacterial infections/therapy |
topic |
Knee arthroplasty Humans Bacterial infections/diagnosis Bacterial infections/therapy |
description |
OBJECTIVE: To present epidemiological data and risk factors associated with surgical out-comes favorable or unfavorable for the treatment of infection in infected total knee arthroplasty. METHODS: We reviewed medical records of 48 patients who underwent treatment of primary total knee arthroplasty for infection between January 1994 and December 2008, in the Orthopedics and Traumatology Department of the Santa Casa de Misericórdia de São Paulo. The variables associated with favorable outcome of surgical treatment (debridement and retention or exchange arthroplasty in two days) or unfavorable (arthrodesis or death) infection. RESULTS: A total of 39 cases of infection after primary total knee arthroplasty, 22 progressed to 17 for a favorable outcome and unfavorable outcome. Early infections (OR: 14.0, 95% CI 1.5-133.2, p = 0.016) and diabetes (OR: 11.3, 95% CI 1.4-89.3, p = 0.032) were associated with arthrodesis joint and death respectively. CONCLUSION: Patients with early infection had a higher risk of developing surgical procedure with unfavorable outcome (arthrodesis) and diabetics had higher odds of death after infection of primary knee arthroplasties. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000500432 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000500432 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2012.10.006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.48 n.5 2013 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122358782492672 |