New Zealand Joint Registry data underestimates the rate of prosthetic joint infection.

Abstract:

:Background and purpose - Recent studies have revealed deficiencies in the accuracy of data from joint registries when reoperations for prosthetic joint infections (PJIs) are reported, particularly when no components are changed. We compared the accuracy of data from the New Zealand Joint Registry (NZJR) to a multicenter audit of hospital records to establish the rate of capture for PJI reoperations. Methods - 4,009 cases undergoing total knee or hip arthroplasty performed at 3 tertiary referral hospitals over a 3-year period were audited using multiple hospital datasets and the NZJR. The number of reoperations for PJI that were performed within 2 years of the primary arthroplasty was obtained using both methods and the data were compared. Results - The NZJR reported a 2-year reoperation rate for PJI of 0.67%, as compared to 1.1% from the audit of hospital records, giving the NZJR a sensitivity of 63%. Only 4 of 11 debridement-in-situ-only procedures and 7 of 12 modular exchange procedures were captured in the NZJR. Interpretation - The national joint registry underestimated the rate of reoperation for PJI by one third. Strategies for improving the accuracy of data might include revising and clarifying the registry forms to include all reoperations for PJI and frequent validation of the registry data against other databases.

journal_name

Acta Orthop

journal_title

Acta orthopaedica

authors

Zhu M,Ravi S,Frampton C,Luey C,Young S

doi

10.3109/17453674.2016.1171639

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

346-50

issue

4

eissn

1745-3674

issn

1745-3682

journal_volume

87

pub_type

杂志文章,多中心研究
  • Cognitive impairment influences the risk of reoperation after hip fracture surgery: results of 87,573 operations reported to the Norwegian Hip Fracture Register.

    abstract::Background and purpose - About one-fourth of hip fracture patients have cognitive impairment. We investigated whether patients' cognitive function affects surgical treatment, risk of reoperation, and mortality after hip fracture, based on data in the Norwegian Hip Fracture Register (NHFR).Patients and methods - This p...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1709712

    authors: Kristoffersen MH,Dybvik E,Steihaug OM,Kristensen TB,Engesaeter LB,Ranhoff AH,Gjertsen JE

    更新日期:2020-04-01 00:00:00

  • Elevation of circulating HLA DR(+) CD8(+) T-cells and correlation with chromium and cobalt concentrations 6 years after metal-on-metal hip arthroplasty.

    abstract:BACKGROUND AND PURPOSE:Following metal-on-metal hip arthroplasty (THA), immunological reactions including changes in lymphocyte populations, aseptic loosening, and lymphocytic pseudotumors occur. We hypothesized that changes in lymphocyte subpopulations would be associated with elevated metal ion concentrations. METHO...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/17453674.2010.548028

    authors: Hailer NP,Blaheta RA,Dahlstrand H,Stark A

    更新日期:2011-02-01 00:00:00

  • Reducing orthopaedic theatre exposure during the COVID-19 lockdown: does a shift towards virtual reality-based training offer a solution?

    abstract::Perspective Orthopaedic training in the United Kingdom has changed little from the Halstedian apprenticeship model of graduated responsibility, with the mantra "see one, do one, teach one". Whilst still relevant in surgical teaching, the current and ongoing disruption to surgical training secondary to the coronavirus ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1845437

    authors: Arshad A,Zaveri A,Atkinson H

    更新日期:2020-11-11 00:00:00

  • Good sensitivity and specificity of ultrasound for detecting pseudotumors in 83 failed metal-on-metal hip replacements.

    abstract:BACKGROUND AND PURPOSE:Ultrasound is used for imaging of pseudotumors associated with metal-on-metal (MoM) hips. Ultrasound has been compared with magnetic resonance imaging, but to date there have been no studies comparing ultrasound findings and revision findings. METHODS:We evaluated the sensitivity and specificity...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.1001970

    authors: Lainiala O,Elo P,Reito A,Pajamäki J,Puolakka T,Eskelinen A

    更新日期:2015-06-01 00:00:00

  • Similar clinical results and early subsidence between the Collum Femoris Preserving and the Corail stem: a randomized radiostereometric study of 77 hips with 2 years' follow-up.

    abstract::Background and purpose - Femoral neck preserving hip replacement has been suggested to improve clinical results and facilitate late revision. We compared the 2-year outcome and radiostereometric pattern of femoral head migration between the Collum Femoris Preserving (CFP) stem and the Corail stem. Patients and methods...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453674.2019.1577344

    authors: Klein LJ,Puretic G,Mohaddes M,Kärrholm J

    更新日期:2019-06-01 00:00:00

  • The effect of impaction and a bioceramic coating on bone ingrowth in porous titanium particles.

    abstract:BACKGROUND AND PURPOSE:Porous titanium (Ti) particles can be impacted like cancellous allograft bone particles, and may therefore be used as bone substitute in impaction grafting. We evaluated the effect of impaction and of a thin silicated biphasic calcium phosphate coating on osteoconduction by Ti particles. METHODS...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2011.579515

    authors: Walschot LH,Schreurs BW,Verdonschot N,Buma P

    更新日期:2011-06-01 00:00:00

  • Poor results from the isoelastic total hip replacement: 14-17-year follow-up of 149 cementless prostheses.

    abstract:BACKGROUND:To overcome the mismatch between a stiff stem and the more elastic bone, the concept of isoelasticity was introduced in the 1970s. This concept was based on the assumption that the implant and the bone should deform as one unit to avoid stress shielding. The Robert Mathys (RM) cementless total hip replacemen...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/00016470510030535

    authors: Trebse R,Milosev I,Kovac S,Mikek M,Pisot V

    更新日期:2005-04-01 00:00:00

  • The Scandinavian ACL registries 2004-2007: baseline epidemiology.

    abstract:BACKGROUND AND PURPOSE:No prospective surveillance systems have been available for monitoring the outcome of cruciate ligament surgery in Scandinavia (Denmark, Norway, and Sweden). In the present paper we describe the Scandinavian ACL registries including their main function, similarities, and preliminary baseline resu...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453670903350107

    authors: Granan LP,Forssblad M,Lind M,Engebretsen L

    更新日期:2009-10-01 00:00:00

  • Alteration of the material properties of the normal supraspinatus tendon by nicotine treatment in a rat model.

    abstract:BACKGROUND AND PURPOSE:Several studies have shown that nicotine has a detrimental effect on the development of rotator cuff tear. However, little is known about its mechanism. We evaluated the effect of nicotine on the maximum tensile load, the maximum tensile stress, and the elastic modulus of the supraspinatus tendon...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2010.524595

    authors: Ichinose R,Sano H,Kishimoto KN,Sakamoto N,Sato M,Itoi E

    更新日期:2010-10-01 00:00:00

  • Similar clinical outcome after unicompartmental knee arthroplasty using a conventional or accelerated care program: a randomized, controlled study of 40 patients.

    abstract:UNLABELLED:BACKGROUND AND PURPOSE Over the last 5 years, there has been increasing interest in reducing length of hospitalization (LOS) through accelerated programs. We examined the clinical outcome of patients undergoing a unicompartmental knee replacement (UKR) in an accelerated care program (A group) compared to a c...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/17453670903035559

    authors: Borgwardt L,Zerahn B,Bliddal H,Christiansen C,Sylvest J,Borgwardt A

    更新日期:2009-06-01 00:00:00

  • Coronal alignment of the lower limb.

    abstract:BACKGROUND:The coronal alignment of the lower limb is important for knee reconstruction procedures. However, normal alignment is hard to define because of its wide variation among normal individuals. Our hypothesis was that the variation in the normal anatomy as assessed by radiography is greater than commonly accepted...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:

    authors: Jenny JY,Boeri C,Ballonzoli L

    更新日期:2005-06-01 00:00:00

  • 2-stage revision of 120 deep infected hip and knee prostheses using gentamicin-PMMA beads.

    abstract::Background and purpose - A 2-stage revision is the most common treatment for late deep prosthesis-related infections and in all cases of septic loosening. However, there is no consensus about the optimal interval between the 2 stages. Patients and methods - We retrospectively studied 120 deep infections of total hip (...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2016.1142305

    authors: Janssen DM,Geurts JA,Jütten LM,Walenkamp GH

    更新日期:2016-08-01 00:00:00

  • Low bone mineral density is not related to failure in femoral neck fracture patients treated with internal fixation.

    abstract:BACKGROUND AND PURPOSE:Internal fixation (IF) in femoral neck fractures has high reoperation rates and some predictors of failure are known, such as age, quality of reduction, and implant positioning. Finding new predictors of failure is an ongoing process, and in this study we evaluated the importance of low bone mine...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2013.875360

    authors: Viberg B,Ryg J,Overgaard S,Lauritsen J,Ovesen O

    更新日期:2014-02-01 00:00:00

  • Increased early mortality and morbidity after total hip arthroplasty in patients with socioeconomic disadvantage: a report from the Swedish Hip Arthroplasty Register.

    abstract::Background and purpose - Socioeconomic status is associated with the outcome of major surgery. We investigated the association of socioeconomic status with the risk of early mortality and readmissions after primary total hip arthroplasty (THA). Patients and methods - We obtained information on income, education, immig...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1598710

    authors: Weiss RJ,Kärrholm J,Rolfson O,Hailer NP

    更新日期:2019-06-01 00:00:00

  • Increased use of total shoulder arthroplasty for osteoarthritis and improved patient-reported outcome in Denmark, 2006-2015: a nationwide cohort study from the Danish Shoulder Arthroplasty Registry.

    abstract::Background and purpose - Osteoarthritis has become the most common indication for shoulder arthroplasty in Denmark, and the treatment strategies have changed towards the use of anatomical total shoulder arthroplasty and reverse shoulder arthroplasty. We investigated whether changes in the use of arthroplasty types hav...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,多中心研究

    doi:10.1080/17453674.2019.1633759

    authors: Rasmussen JV,Amundsen A,Sørensen AKB,Klausen TW,Jakobsen J,Jensen SL,Olsen BS

    更新日期:2019-10-01 00:00:00

  • Early death following primary total hip arthroplasty: 1,727 procedures with mechanical thrombo-prophylaxis.

    abstract:BACKGROUND:The aims of this study were to quantify the risk and identify the causes of early postoperative mortality after total hip arthroplasty. This would help clinicians address preventable causes of death and help in accurate counseling and consenting of patients. METHODS:We determined the death rate at 90 days i...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610046244

    authors: Blom A,Pattison G,Whitehouse S,Taylor A,Bannister G

    更新日期:2006-06-01 00:00:00

  • Bone mineral density of the femoral neck in resurfacing hip arthroplasty.

    abstract:BACKGROUND AND PURPOSE:Resurfacing total hip arthroplasty (RTHA) may preserve the femoral neck bone stock postoperatively. Bone mineral density (BMD) may be affected by the hip position, which might bias longitudinal studies. We investigated the dependency of BMD precision on type of ROI and hip position. METHOD:We DX...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2010.480935

    authors: Penny JØ,Ovesen O,Brixen K,Varmarken JE,Overgaard S

    更新日期:2010-06-01 00:00:00

  • HipSim - hip fracture surgery simulation utilizing the Learning Curve-Cumulative Summation test (LC-CUSUM).

    abstract::Background and purpose - Virtual reality simulation of hip fracture surgery is available for orthopedic residents nationwide in Denmark. Summative assessment of learning applying the learning curve cumulative summation test (LC-CUSUM) has not been utilized in orthopedic simulation training. The strength of the LC-CUSU...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1777511

    authors: Rölfing JD,Jensen RD,Paltved C

    更新日期:2020-12-01 00:00:00

  • The mechanism of primary patellar dislocation: trauma history of 126 patients.

    abstract:BACKGROUND AND PURPOSE:Several mechanisms are responsible for patellar dislocation. We investigated how the primary pathomechanism relates to patient characteristics and the outcome. METHODS:126 patients (81 females) with primary patellar dislocation reported the knee position before the episode, the movement during i...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453670903110634

    authors: Nikku R,Nietosvaara Y,Aalto K,Kallio PE

    更新日期:2009-08-01 00:00:00

  • Uncemented or cemented revision stems? Analysis of 2,296 first-time hip revision arthroplasties performed due to aseptic loosening, reported to the Swedish Hip Arthroplasty Register.

    abstract::Background and purpose - Uncemented stems are increasingly used in revision hip arthroplasty, but only a few studies have analyzed the outcomes of uncemented and cemented revision stems in large cohorts of patients. We compared the results of uncemented and cemented revision stems. Patients and methods - 1,668 uncemen...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1624336

    authors: Tyson Y,Rolfson O,Kärrholm J,Hailer NP,Mohaddes M

    更新日期:2019-10-01 00:00:00

  • Similar outcome for total knee arthroplasty after previous high tibial osteotomy and for total knee arthroplasty as the first measure.

    abstract::Background and purpose - Patients having a total knee arthroplasty (TKA) after a previous high tibial osteotomy (HTO) constitute a minor group among those undergoing primary TKA for knee osteoarthritis (OA). There have been few reports on whether such patients differ pre- and postoperatively from those who undergo TKA...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2016.1195663

    authors: W-Dahl A,Robertsson O

    更新日期:2016-08-01 00:00:00

  • (18)F-FDG microPET imaging differentiates between septic and aseptic wound healing after orthopedic implant placement: a longitudinal study of an implant osteomyelitis in the rabbit tibia.

    abstract:BACKGROUND AND PURPOSE:(18)F-FDG PET is a widely used tool for molecular imaging of oncological, cardiovascular, and neurological disorders. We evaluated (18)F-FDG microPET as an implant osteomyelitis imaging tool using a Staphylococcus aureus-induced peroperative implant infection in rabbits. METHODS:Intramedullary t...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.900894

    authors: Odekerken JC,Brans BT,Welting TJ,Walenkamp GH

    更新日期:2014-06-01 00:00:00

  • Temporal and spatial expression of BMP-2 in sub-chondral bone of necrotic femoral heads in rabbits by use of extracorporeal shock waves.

    abstract:BACKGROUND AND PURPOSE:Extracorporeal shock wave treatment has been used successfully for the treatment of avascular necrosis of the femoral head. The pathway of biological events by which this is accomplished has not been fully elucidated. BMP-2 is a key mediator of bone development and repair, and is uniquely require...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710014833

    authors: Ma HZ,Zeng BF,Li XL,Chai YM

    更新日期:2008-02-01 00:00:00

  • Posterior approach compared to direct lateral approach resulted in better patient-reported outcome after hemiarthroplasty for femoral neck fracture.

    abstract::Background and purpose - Hemiarthroplasty (HA) is the most common treatment for displaced femoral neck fractures in many countries. In Norway, there has been a tradition of using the direct lateral surgical approach, but worldwide a posterior approach is more often used. Based on data from the Norwegian Hip Fracture R...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,多中心研究

    doi:10.1080/17453674.2016.1250480

    authors: Kristensen TB,Vinje T,Havelin LI,Engesæter LB,Gjertsen JE

    更新日期:2017-02-01 00:00:00

  • Postoperative clodronate decreases prosthetic migration: 4-year follow-up of a randomized radiostereometric study of 50 total knee patients.

    abstract:BACKGROUND:We have previously reported that 6 months of oral treatment with clodronate reduced the migration of the NexGen total knee prosthesis during the first postoperative year, as measured by radiostereometry (RSA). We now report the 4-year results. METHODS:This was a double-blind randomized study, using RSA with...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453670610013213

    authors: Hilding M,Aspenberg P

    更新日期:2006-12-01 00:00:00

  • Acetabular cup position and risk of dislocation in primary total hip arthroplasty.

    abstract::Background and purpose - Hip dislocation is one of the most common complications following total hip arthroplasty (THA). Several factors that affect dislocation have been identified, including acetabular cup positioning. Optimal values for cup inclination and anteversion are debatable. We performed a systematic review...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,评审

    doi:10.1080/17453674.2016.1251255

    authors: Seagrave KG,Troelsen A,Malchau H,Husted H,Gromov K

    更新日期:2017-02-01 00:00:00

  • Gas chromatography-mass spectroscopy analysis of emissions from cement when using ultrasonically driven tools.

    abstract:BACKGROUND:Ultrasonically driven tools have been used to reduce the incidence of complications during cement removal at revision hip replacement operations. These have been shown to be safe and effective in various ways, but produce fumes. METHODS:Using gas chromatography-mass spectroscopy, we analyzed the fumes produ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670510041718

    authors: Shewale SB,Briggs RD

    更新日期:2005-10-01 00:00:00

  • Treatment of 2- and 3-part fractures of the proximal humerus using external fixation: a retrospective evaluation of 62 patients.

    abstract:BACKGROUND:Treatment of fractures of the humeral head remains controversial. We reviewed the outcome of our treatment of 2- and 3-part fractures of the proximal humerus using external fixation as a way of preventing damage to the vascularity of the humeral head and of reducing the risk of infection associated with open...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610046028

    authors: Martin C,Guillen M,Lopez G

    更新日期:2006-04-01 00:00:00

  • The type of surgical approach influences the risk of revision in total hip arthroplasty: a study from the Swedish Hip Arthroplasty Register of 90,662 total hipreplacements with 3 different cemented prostheses.

    abstract:BACKGROUND AND PURPOSE:The most common surgical approaches in total hip arthroplasty in Sweden are the posterior and the anterolateral transgluteal approach. Currently, however, there is insufficient evidence to prefer one over the other regarding risk of subsequent surgery. PATIENTS AND METHODS:We searched the Swedis...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2012.742394

    authors: Lindgren V,Garellick G,Kärrholm J,Wretenberg P

    更新日期:2012-12-01 00:00:00

  • Lessons learnt from early failure of a patient trial with a polymer-on-polymer resurfacing hip arthroplasty.

    abstract::Background and purpose - Hip resurfacing (HR) is a treatment option promoted for hip arthritis in young and active patients. However, adverse reactions to metal are a concern and the search for non-metallic bearing options proceeds. We present the first clinical study performed in patients using a newly developed hydr...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2017.1376526

    authors: Van Susante JLC,Verdonschot N,Bom LPA,Tomaszewski P,Campbell P,Ebramzadeh E,Schreurs BW

    更新日期:2018-02-01 00:00:00