Loading...
Please wait, while we are loading the content...
Similar Documents
Two-stage revision for periprosthetic joint infection in unicompartmental knee arthroplasty: clinical and radiological results.
| Content Provider | Europe PMC |
|---|---|
| Author | Cavagnaro, Luca Chiarlone, Francesco Mosconi, Lorenzo Zanirato, Andrea Formica, Matteo Burastero, Giorgio |
| Abstract | IntroductionUnicompartmental knee arthroplasty (UKA) has an infection rate of 0.1–0.8%. Despite the wide amount of literature about septic total knee arthroplasty management, few data are available for UKA infection treatment. The aim is to present the clinical and radiological outcomes along with complication rates of a series of septic UKA treated with two-stage exchange.MethodsWe retrospectively reviewed 16 patient treated with staged UKA revision for infection between June 2015 and September 2019 in a single bone infection unit. The main demographic and surgical data were recorded. Clinical scores (VAS, KSS, OKS, postoperative ROM), radiological parameters (osseointegration, loosening and radiolucencies) and complications were reported. The mean follow-up was 33.5 ± 6.9 months.ResultsMean age at surgery was 68.5 ± 9.1. All but two were medial UKA. The mean number of previous surgeries was 2.9 ± 1.9. The mean ROM, VAS, KSS and OKS of the entire population improved significantly (p < 0.01). Radiological analysis did not show any migration or implant loosening. Ten constrained condylar and six posterior stabilized prosthesis were finally implanted. One intraoperative pathogen isolation was recorded and managed with suppressive therapy and good final outcome. The implant survivorship free from infection was 100% at the final follow-up. The overall survival rate for any reason of revision was 100%ConclusionAccording to our results, staged revision represents a reliable ad effective option in delayed and late UKA infections. This technique provides optimal clinical and radiological results with acceptable complication rates. To the best of our knowledge, this represent the widest case series on infected UKA managed with two-stage exchange. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9296397&blobtype=pdf |
| ISSN | 09368051 |
| Journal | Archives of Orthopaedic and Trauma Surgery [Arch Orthop Trauma Surg] |
| Volume Number | 142 |
| DOI | 10.1007/s00402-022-04464-8 |
| PubMed Central reference number | PMC9296397 |
| Issue Number | 8 |
| PubMed reference number | 35589980 |
| e-ISSN | 14343916 |
| Language | English |
| Publisher | Springer Berlin Heidelberg |
| Publisher Date | 2022-05-19 |
| Publisher Place | Berlin/Heidelberg |
| Access Restriction | Open |
| Rights License | Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2022, corrected publication 2022 |
| Subject Keyword | Unicompartmental knee arthroplasty Periprosthetic joint infection Two-stage revision Outcomes |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
