Application of the Mayo Periprosthetic Joint Infection Risk Score for Total Ankle Arthroplasty

Zhang, Zijun; Chien, Bonnie; Noori, Naudereh; Day, Jonathan; Robertson, Cassandra; Schon, Lew C.

doi:10.1177/10711007231157697

Cited by 5 publications

(3 citation statements)

References 48 publications

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“…In a Level II diagnostic study, Zhang et al 46 followed a total of 405 consecutive TAA cases for 6 months for periprosthetic joint infection (PJI). The Mayo Prosthetic Joint Infection Risk Score (Mayo Score) was calculated for each patient and analyzed for predictability for PJI.…”

Section: Total Ankle Arthroplastymentioning

confidence: 99%

2023 Evidence-Based Medicine (EBM) Update

Huh,

Louis-Ugbo,

Hembree

et al. 2024

Foot Ankle Int.

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Select topics with the most frequent number of publications during the time period covered in the designated journals were identified. For 2023, these topics were Achilles tendon ruptures (ATRs), osteochondral lesions of the talus (OLTs), total ankle arthroplasty (TAA), ankle fractures, progressive collapsing foot deformity (PCFD), and minimally invasive surgery (MIS) for hallux valgus deformity. What follows are summaries of the highest level of evidence (LOE) available in 2023 for each topic.

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Section: Total Ankle Arthroplastymentioning

confidence: 99%

2023 Evidence-Based Medicine (EBM) Update

Huh,

Louis-Ugbo,

Hembree

et al. 2024

Foot Ankle Int.

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“…Zhang et al tested the Mayo Periprosthetic Joint Infection Risk Score for validation in the total ankle arthroplasty population. The authors reported that when a Mayo score of >5 was used as the criterion for high risk for PJI, the sensitivity of the test was 90% and the specificity was 84.3% 66 .…”

Section: Other Topicsmentioning

confidence: 99%

What’s New in Musculoskeletal Infection

Otero,

Dombrowski,

Brown

et al. 2024

Journal of Bone and Joint Surgery

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Periprosthetic joint infection (PJI) continues to be a devastating complication after total joint arthroplasty (TJA) and remains one of the most common causes for revision TJA. Projections are clear that primary TJA will continue to increase annually and, with it, PJI. In 2022, there was an emphasis on the global economics of PJI management, whereas, in 2023, the literature attempted to provide a more granular look at the financial burden of PJI. Wixted et al. analyzed the direct costs of PJI at a tertiary referral center, including the costs of relevant ancillary services, and demonstrated that the failure of successful reimplantation and the need for additional surgical procedures more than doubled the direct costs of PJI management ($38,865 compared with $79,223) 1 . Additionally, Charalambous et al. assessed cost drivers of 2-stage exchange for PJI treatment and found that age, illicit drug use, the Elixhauser comorbidity index, and number of surgical procedures before reimplantation were all associated with an increased cost of PJI treatment and that failure to clear infection was associated with a >50% increase in total costs at 2 years after treatment 2 . In 2023, the psychosocial impact of PJI was also highlighted. Shichman et al. demonstrated that the sequelae of PJI decreased patientreported quality of life, social satisfaction, and mental health, with approximately 1 of 4 patients regretting their initial decision to undergo primary TJA 3 . Das et al. demonstrated that patients who underwent spacer placement for PJI after TJA had a disproportionately higher incidence of mental health disorders following a surgical procedure compared with aseptic revisions and primary TJA, urging surgeons to consider collaborative management with mental health professionals in the treatment of PJI 4 .Not only are mental health disorders a consequence of PJI, but they are also likely a risk factor. Harmer et al. demonstrated that depression and anxiety were associated with an increased risk of any infection, and specifically with an increased risk of PJI after revision total knee arthroplasty (TKA) 5 .Two-stage exchange continues to be considered the mainstay treatment of PJI, although 1-stage treatment is gaining popularity. In an Australian cost-utility analysis using a Markov model, Okafor et al. found that opting for an index 2-stage revision instead of a 1-stage revision when there is no compelling indication for 2-stage exchange is not likely to be cost-effective 6 . In the United States, most surgeons are utilizing 2-stage exchange, with 75% of American Association of Hip and Knee Surgeons (AAHKS) survey respondents reporting the use of 2-stage exchange rather than 1-stage exchange and with the majority of surgeons handling <20 PJI cases per year 7 . Despite this, the use of single-stage exchange is increasing across the globe, with a single high-volume European center reporting a >30% increase in 1-stage exchange from 2008 to 2021 8 . Fehring et al. reported a 99% reimplantation rate after 2-stage exchange at the...

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“…This retrospective study from Baltimore (Maryland, USA) investigated the application of the Mayo Score in a series of TAA cases and its predictability of PJI risk. 7 It included 405 consecutive TAA cases performed by one surgeon over a ten-year period (2012 to 2022), using a Trabecular Metal Total Ankle System. In this cohort, PJI was diagnosed when a positive bacterial culture was identified on joint aspiration.…”

Section: The Mayo Prosthetic Joint Infection Risk Score For Total Ank...mentioning

confidence: 99%

Foot & Ankle

2023

Bone &Amp; Joint 360

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The August 2023 Foot & Ankle Roundup360 looks at: Achilles tendon rupture: surgery or conservative treatment for the high-demand patient?; First ray amputation in diabetic patients; Survival of ankle arthroplasty in the UK; First metatarsophalangeal joint fusion and flat foot correction; Intra-articular corticosteroid injections with or without hyaluronic acid in the management of subtalar osteoarthritis; Factors associated with nonunion of post-traumatic subtalar arthrodesis; The Mayo Prosthetic Joint Infection Risk Score for total ankle arthroplasty.

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Application of the Mayo Periprosthetic Joint Infection Risk Score for Total Ankle Arthroplasty

Cited by 5 publications

References 48 publications

2023 Evidence-Based Medicine (EBM) Update

2023 Evidence-Based Medicine (EBM) Update

What’s New in Musculoskeletal Infection

Foot & Ankle

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