| Literature DB >> 25466169 |
Georgios K Triantafyllopoulos1, Lazaros A Poultsides1, Wei Zhang2, Peter K Sculco1, Yan Ma2, Thomas P Sculco1.
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.Entities:
Keywords: debridement; irrigation; knee; outcomes; periprosthetic joint infections; predictive factors
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Year: 2014 PMID： 25466169 DOI： 10.1016/j.arth.2014.10.026
Source DB: PubMed Journal: J Arthroplasty ISSN： 0883-5403 Impact factor: 4.757