Key takeaways:
- Multistage revision arthroplasty was related to excessive remission charges and low mortality for sufferers with ongoing joint an infection.
- Sufferers had a remission fee of 87.3% and a mortality fee of 11.4%.
For sufferers with persistent periprosthetic joint an infection, multistage revision whole knee arthroplasty procedures have been related to excessive remission charges and low mortality at minimal 5-year follow-up, in response to revealed outcomes.
Matthias Schnetz, MD, from the division of trauma and orthopaedic surgical procedure at Berufsgenossenschaftliche Unfallklinik Frankfurt am Primary in Germany, and colleagues analyzed information from 79 sufferers with persistent PJI of the knee who underwent a multistage revision TKA with a rotating hinge implant.
Multistage revision arthroplasty was related to excessive remission charges and low mortality for sufferers with ongoing joint an infection. Picture: Adobe Inventory
“In difficult-to-treat PJI, ongoing indicators of an infection after implant removing could also be current,” Schnetz and colleagues wrote within the examine. “In these circumstances, further surgical debridement and spacer alternate steps are essential, leading to a multistage strategy.”
Based on the examine, the imply variety of surgical procedures was 3.8, which included implant removing and revision arthroplasty procedures, and the imply length from implant removing to revision arthroplasty was 83.4 days.
Schnetz and colleagues assessed Knee Society Rating (KSS), WOMAC rating, issues, remissions and mortality at a minimal follow-up of 5 years. Imply follow-up of the examine was 8.1 years.
Total, 30.4% of sufferers (n = 24) underwent revision arthroplasty at a imply 98.7 weeks after implant removing. At follow-up, Schnetz and colleagues discovered the infection-free remission fee was 87.3% and mortality fee was 11.4%. Additionally they discovered sufferers had a imply KSS of 74.3, imply KSS perform rating of 60.8 and imply WOMAC rating of 30.2.
“Our information could also be used to enhance remedy for persistent PJI of the knee, and surgeons ought to concentrate on the end result introduced when deciding on optimum therapeutic methods,” Schnetz and colleagues concluded.
