Abstract：
PURPOSE:To identify potential risk factors and micro-organisms associated with prosthetic joint infection following primary total knee replacement surgery. HYPOTHESIS OF STUDY:Our hypothesis is that body mass index (BMI), operative time, type of surgery, and order of surgery especially in bilateral simultaneous cases have a major impact on prosthetic joint infection (PJI). METHODOLOGY:We identified 4269 patients who underwent for primary knee replacement surgery between 2008 and 2018. We recorded patient demographics, comorbidities, order of surgery, type of surgery, causative micro-organism, and their antibiotic susceptibility. Multivariable logistic regression analysis was built to identify risk factors that are associated with prosthetic joint infection following primary total knee replacement. RESULTS:Forty-eight patients developed prosthetic joint infection. The factors that are found to be associated with prosthetic joint infection are BMI, operative time, type of surgery, order of surgery, diabetes, and rheumatoid arthritis. Methicillin-resistant Staphylococcus aureus (MRSA) was the major underlying pathogen seen in majority of cases. CONCLUSION:Despite low incidence of prosthetic joint infection following primary total knee replacement, there are patients at higher risk that would benefit by addressing modifying risk factors significantly associated with prosthetic joint infection.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Iqbal F,Shafiq B,Zamir M,Noor S,Memon N,Memon N,Dina TKdoi
10.1007/s00264-019-04472-1subject
Has Abstractpub_date
2020-02-01 00:00:00pages
283-289issue
2eissn
0341-2695issn
1432-5195pii
10.1007/s00264-019-04472-1journal_volume
44pub_type
杂志文章,多中心研究abstract：PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1645-z
更新日期：2012-11-01 00:00:00
abstract：:We reviewed a consecutive series of 19 patients with comminuted periprosthetic fractures, loosening of the femoral stem (Vancouver type B3) and significant loss of bone stock (Paprosky type III and IV). Sixteen porous-coated long stems and three Exeter stems, all with impaction grafting, were used. Large femoral onlay...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0423-8
更新日期：2003-01-01 00:00:00
abstract：PURPOSE:Dual mobility (DM) socket has been associated with a low rate of dislocation following both primary and revision total hip arthroplasty (THA). However, little is known about the long-term efficiency of DM in the treatment of THA instability. The purpose of this retrospective study was to evaluate the outcome of...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3343-8
更新日期：2017-03-01 00:00:00
abstract：:In this prospective study, our aim was to compare the functional results and radiographic outcomes of fusion and Bryan Cervical Disc replacement in the treatment of two-level cervical disc disease. A total of 65 patients with two-level cervical disc disease were randomly assigned to two groups, those operated on with ...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-008-0655-3
更新日期：2009-10-01 00:00:00
abstract：PURPOSE:The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon underneath the conjoi...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2566-9
更新日期：2015-03-01 00:00:00
abstract：:We describe a method of quantifying the lateral/medial thrust of the knee which occurs in the early phase of walking. We have used this method to evaluate the effects of wedged insoles on the lateral and medial thrust for normal knees and knees with unicompartment osteoarthritis (OA). A laterally elevated (valgus) ins...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050174
更新日期：1997-01-01 00:00:00
abstract：:We have analysed the development of the cartilage canals in the tarsal navicular in 26 human foetuses and infants, aged between 12 weeks after gestation and 10 months, using a technique of transparentation and serial histological sections of the bone. The formation of cartilage canals starts in the first 12 to 13 week...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00195220
更新日期：1993-01-01 00:00:00
abstract：:Extraskeletal osteosarcoma is very rare and is difficult to diagnose histologically. We report a case of a 63 year old women who had such a tumour in her thigh. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00182646
更新日期：1990-01-01 00:00:00
abstract：PURPOSE:We have developed iodine-supported titanium implants that suppress microbial activities and conducted in vivo and in vitro studies to determine their antimicrobial properties. METHODS:The implants were Ti-6Al-4 V titanium implants either untreated (Ti), treated with oxide film on the Ti surface by anodization ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3477-3
更新日期：2017-06-01 00:00:00
abstract：PURPOSE:The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. METHODS:A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2626-1
更新日期：2015-03-01 00:00:00
abstract：PURPOSE:We prospectively compared two types of dressing (conventional gauze-based versus absorbing hydrofibre) after primary total hip (THA) or knee (TKA) arthroplasties. METHODS:Eighty candidates for THA (n = 40) or TKA (s = 40) were randomized: gauze-based versus hydrofibre absorbing (Aquacel®, ConvaTec). The two gr...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-015-2726-6
更新日期：2015-07-01 00:00:00
abstract：PURPOSE:The aim of this study is to describe the influence of sitting and standing posture on sagittal pelvic inclination in total hip replacement patients to assist with correct acetabular component positioning. METHODS:Lateral radiographs of the pelvis and lumbar spine in sitting and standing positions were extracte...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2491-y
更新日期：2015-03-01 00:00:00
abstract：:A randomized, double blind study of low level laser treatment of chondromalacia of the patella in 40 patients has been undertaken. Chondromalacia was established by arthroscopy and was related to subjective symptoms. Eight treatments were given during five weeks by a physiotherapist with the use of a GAAS pulsed laser...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF00186879
更新日期：1991-01-01 00:00:00
abstract：PURPOSE:The purpose of this study was to compare and evaluate the safety and efficacy of percutaneous vertebroplasty at a hyperextension position (PVPHP) and percutaneous kyphoplasty at a hyperextension position (PKPHP) for the treatment of osteoporotic Kümmell's disease. METHODS:This study was a retrospective, single...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3832-z
更新日期：2018-06-01 00:00:00
abstract：PURPOSE:The longest follow-up dual mobility series from inventor Gilles Bousquet focussing on implant survival and the incidence of dislocation. METHODS:This was a retrospective study from 1985 to 1990, on 240 hips using a PF® modular femoral stem and a dual mobility Novae® tripodal socket (SERF). RESULTS:The 22-year...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1289-4
更新日期：2012-03-01 00:00:00
abstract：:A new twisted plate has been designed for biplane fixation of diaphyseal fractures of long bones. Comparative mechanical testing of the new twisted plate and conventional flat plates showed that the twisted plate was 40% stronger when a bending moment was applied and 132% stronger to a twisting moment. The overall imp...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章
doi：10.1007/BF00182708
更新日期：1992-01-01 00:00:00
abstract：:A series of 199 total hip arthroplasties was performed using a porous-coated, hemispherical press-fit acetabular cup. At a mean follow-up of 91.5 months 158 cups were available for clinical and radiological review. The mean age of the patients at the time of the index arthroplasty was 62.5 years. The mean Harris Hip s...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640100265
更新日期：2001-01-01 00:00:00
abstract：:Between April 1979 and August 1993, we treated 39 patients (49 knees) with knee flexion deformity after Poliomyelitis. All were subjected to fractional hamstring lengthening and supracondylar femoral extension osteotomy in the same surgical procedure. The goal was to correct the deformity and fit the lower extremities...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0007-5
更新日期：2005-12-01 00:00:00
abstract：PURPOSE:Heterotopic ossification is a common complication after total hip arthroplasty. Non-steroidal anti-inflammatory drugs (NSAIDs) are known to prevent heterotopic ossifications effectively, however gastrointestinal complaints are reported frequently. In this study, we investigated whether etoricoxib, a selective c...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1781-0
更新日期：2013-04-01 00:00:00
abstract：:Over a 4-year period, 55 consecutive knee arthroscopies were performed on 54 patients with symptomatic mild to moderate osteoarthritis. There were 30 female patients and the average patient age was 60.9 years. The average follow-up period was 29.6 months. All patients underwent diagnostic arthroscopy and washout. Furt...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000212
更新日期：2001-01-01 00:00:00
abstract：:Subluxation of the patella may produce pain and instability in young people. However its classification, diagnosis and treatment are controversial. We have used computerized tomography (CT) to measure the amount of lateral shift of the patella and the angle of tilt to the femur in patients with subluxation. The mean l...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00267752
更新日期：1986-06-01 00:00:00
abstract：PURPOSE:Our aim was to investigate whether serum and synovial-fluid (SF) concentrations of interleukin-6 (IL-6), leptin, adiponectin, resistin or visfatin are associated with joint pain in hip and knee in end-stage osteoarthritis (OA). METHODS:A cross-sectional study assessing patients with hip and knee OA undergoing ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2416-9
更新日期：2014-12-01 00:00:00
abstract：:We have developed a method to promote longitudinal bone growth at the level of a specific growth-plate (GP) in young rabbits. Insulin-like growth factor-I (IGF-I) was continuously infused by means of an osmotic pump into the bone marrow cavity of the proximal epiphysis of the tibia. Radiological measurement showed a 2...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0336-7
更新日期：2008-06-01 00:00:00
abstract：PURPOSE:We will test the hypothesis that ultrasound supported by polymerase chain reaction (PCR) could improve bacterial identification in non-infected prosthetic joint loosening. The aim was to detect bacterial species in non-infected prosthetic joint loosening using ultrasound and 16S rRNA gene sequencing. METHODS:A...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1955-9
更新日期：2013-10-01 00:00:00
abstract：AIM OF THE STUDY:To determine if pre-operative radiologic minimal joint space width (mJSW) is related to the outcome of total knee arthroplasty (TKA) (primary hypothesis). Likewise, the aim was to test if pre-operative mJSW is related to prosthesis survival (secondary hypothesis). METHODS:A retrospective comparative a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4185-3
更新日期：2019-08-01 00:00:00
abstract：:We treated 20 patients with symptomatic L4-5 isthmic spondylolisthesis (ten grade I, nine grade II and one grade III) surgically. All patients complained of low back pain and nine had additional radicular pain. Bilateral posterolateral fusion using the sacrospinalis muscle as a muscle pedicle bone graft was carried ou...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640100269
更新日期：2001-01-01 00:00:00
abstract：:Twenty-eight (11 cemented and 17 noncemented) total hip arthroplasties (THA) were performed in 20 patients with rheumatoid arthritis (RA). The average age at operation was 42.1 years and the average follow-up was 10.8 years. There were two deep infections requiring removal of the prosthesis. Three cemented acetabular ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000214
更新日期：2001-01-01 00:00:00
abstract：PURPOSES:We performed a retrospective, cohort study to compare uncemented tibial fixation with cemented tibial fixation in distal femoral replacement (DFR). METHODS:Sixty-two cases with uncemented tibial fixation and 58 cases with cemented tibial fixation were included. Inter-group comparisons were performed for basel...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3847-5
更新日期：2018-09-01 00:00:00
abstract：PURPOSE:YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. METHODS:The present study analyzed 133 YouTube videos using the ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3174-7
更新日期：2016-10-01 00:00:00
abstract：:The purpose of this work was to document eleven years of experience in knee replacement for fixed knee valgus through a lateral approach with special emphasis on the balancing procedures. At a mean follow-up of seven years, only one revision for sepsis was required in this series of 63 knee replacements. The mean knee...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0698-5
更新日期：2009-12-01 00:00:00
