Cargando…

Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?

BACKGROUND: There has been recent increased focus on the importance of modifiable risk factors that can affect the risk of potentially avoidable complications such as prosthetic joint infection (PJI). We aimed to assess the relationship between adherence to a preoperative optimization protocol at ou...

Descripción completa

Detalles Bibliográficos
Autores principales: Layon, Daniel R., Johns, William L., Morrell, Aidan T., Perera, Robert, Patel, Nirav K., Golladay, Gregory J., Kates, Stephen L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305334/
https://www.ncbi.nlm.nih.gov/pubmed/32577486
http://dx.doi.org/10.1016/j.artd.2020.04.019
_version_ 1783548437868838912
author Layon, Daniel R.
Johns, William L.
Morrell, Aidan T.
Perera, Robert
Patel, Nirav K.
Golladay, Gregory J.
Kates, Stephen L.
author_facet Layon, Daniel R.
Johns, William L.
Morrell, Aidan T.
Perera, Robert
Patel, Nirav K.
Golladay, Gregory J.
Kates, Stephen L.
author_sort Layon, Daniel R.
collection PubMed
description BACKGROUND: There has been recent increased focus on the importance of modifiable risk factors that can affect the risk of potentially avoidable complications such as prosthetic joint infection (PJI). We aimed to assess the relationship between adherence to a preoperative optimization protocol at our institution and its influence on the rate of PJI after primary and revision total knee arthroplasty (TKA). METHODS: A single-institution, retrospective study was conducted on all elective primary and revision TKAs performed over a 2-year period. PJI was diagnosed using the 2011 Musculoskeletal Infection Society criteria. Surgical outcomes and PJI were assessed relative to adherence to preoperative optimization criteria. Compliance was set as a binary variable with any case that did not meet all criteria deemed noncompliant. RESULTS: A total of 669 TKAs met inclusion criteria, including 510 primary and 159 revision TKAs. Overall compliance was 61.3%. There were 26 PJIs (3.9%) in total. The PJI rate was 1.2% (6) among primary and 14.4% (20) among revision TKAs. The rate of PJI among cases that met the preoperative optimization criteria was 2.4% (5), and the rate among cases that did not was 6.2% (21) (P < .05). CONCLUSIONS: Adherence to preoperative optimization criteria may decrease the incidence of PJI after primary and revision TKA, but further study is needed to confirm the findings of this study.
format Online
Article
Text
id pubmed-7305334
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-73053342020-06-22 Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties? Layon, Daniel R. Johns, William L. Morrell, Aidan T. Perera, Robert Patel, Nirav K. Golladay, Gregory J. Kates, Stephen L. Arthroplast Today Original Research BACKGROUND: There has been recent increased focus on the importance of modifiable risk factors that can affect the risk of potentially avoidable complications such as prosthetic joint infection (PJI). We aimed to assess the relationship between adherence to a preoperative optimization protocol at our institution and its influence on the rate of PJI after primary and revision total knee arthroplasty (TKA). METHODS: A single-institution, retrospective study was conducted on all elective primary and revision TKAs performed over a 2-year period. PJI was diagnosed using the 2011 Musculoskeletal Infection Society criteria. Surgical outcomes and PJI were assessed relative to adherence to preoperative optimization criteria. Compliance was set as a binary variable with any case that did not meet all criteria deemed noncompliant. RESULTS: A total of 669 TKAs met inclusion criteria, including 510 primary and 159 revision TKAs. Overall compliance was 61.3%. There were 26 PJIs (3.9%) in total. The PJI rate was 1.2% (6) among primary and 14.4% (20) among revision TKAs. The rate of PJI among cases that met the preoperative optimization criteria was 2.4% (5), and the rate among cases that did not was 6.2% (21) (P < .05). CONCLUSIONS: Adherence to preoperative optimization criteria may decrease the incidence of PJI after primary and revision TKA, but further study is needed to confirm the findings of this study. Elsevier 2020-06-17 /pmc/articles/PMC7305334/ /pubmed/32577486 http://dx.doi.org/10.1016/j.artd.2020.04.019 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Layon, Daniel R.
Johns, William L.
Morrell, Aidan T.
Perera, Robert
Patel, Nirav K.
Golladay, Gregory J.
Kates, Stephen L.
Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?
title Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?
title_full Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?
title_fullStr Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?
title_full_unstemmed Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?
title_short Does Adherence to Preoperative Surgical Selection Criteria Reduce the Rate of Prosthetic Joint Infection in Primary and Revision Total Knee Arthroplasties?
title_sort does adherence to preoperative surgical selection criteria reduce the rate of prosthetic joint infection in primary and revision total knee arthroplasties?
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305334/
https://www.ncbi.nlm.nih.gov/pubmed/32577486
http://dx.doi.org/10.1016/j.artd.2020.04.019
work_keys_str_mv AT layondanielr doesadherencetopreoperativesurgicalselectioncriteriareducetherateofprostheticjointinfectioninprimaryandrevisiontotalkneearthroplasties
AT johnswilliaml doesadherencetopreoperativesurgicalselectioncriteriareducetherateofprostheticjointinfectioninprimaryandrevisiontotalkneearthroplasties
AT morrellaidant doesadherencetopreoperativesurgicalselectioncriteriareducetherateofprostheticjointinfectioninprimaryandrevisiontotalkneearthroplasties
AT pererarobert doesadherencetopreoperativesurgicalselectioncriteriareducetherateofprostheticjointinfectioninprimaryandrevisiontotalkneearthroplasties
AT patelniravk doesadherencetopreoperativesurgicalselectioncriteriareducetherateofprostheticjointinfectioninprimaryandrevisiontotalkneearthroplasties
AT golladaygregoryj doesadherencetopreoperativesurgicalselectioncriteriareducetherateofprostheticjointinfectioninprimaryandrevisiontotalkneearthroplasties
AT katesstephenl doesadherencetopreoperativesurgicalselectioncriteriareducetherateofprostheticjointinfectioninprimaryandrevisiontotalkneearthroplasties