Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system.

Salvati, Eduardo A.; Robinson, Raymond P.; Zeno, Susan; Koslin, Brad; Brause, Barry D.; Wilson, Philip D.

doi:10.2106/00004623-198264040-00007

Cited by 268 publications

(112 citation statements)

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“…The rates of these complications were selected to fall in the midrange of estimates reported in the literature. Most studies have reported rates of infection leading to implant failure near the value of 1% used in the reference case of this study [25][26][27][28]. Mortality and dislocation rates have not been as definitively established.…”

Section: Decision Modelmentioning

confidence: 81%

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Cost-effectiveness Analysis of Core Decompression

SooHoo

Vyas

Manunga

et al. 2006

The Journal of Arthroplasty

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Core decompression is widely used to treat the early stages of osteonecrosis of the hip. The purpose of this analysis is to assist orthopedic surgeons in judging whether currently available data support the use of core decompression as cost-effective. A decision model was created for the treatment of osteonecrosis of the femoral head. Literature review was used to identify possible outcomes and their probability after initial treatment with either observation or core decompression. This model demonstrates core decompression must delay the need for total hip arthroplasty for a minimum of 5 years to maintain an incremental cost-effectiveness ratio lower than $50 000 per quality-adjusted life year gained. Treatment options with ratios higher than $50 000 per quality-adjusted life year are generally considered to have limited cost-effectiveness. This study demonstrates that core decompression has the potential to be a highly cost-effective alternative if it is leads to a delay in the need for total hip arthroplasty of 5 years or longer.

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Section: Decision Modelmentioning

confidence: 81%

“…The rates of complications after THA have been reported by several authors [23][24][25][26][27][28][29]. The assumed durability of hip arthroplasty and incidence of complications including death, dislocation, and infection were selected to be in the midrange of accepted values.…”

Section: Sensitivity Analysismentioning

confidence: 99%

Cost-effectiveness Analysis of Core Decompression

SooHoo

Vyas

Manunga

et al. 2006

The Journal of Arthroplasty

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“…OR traffic can increase the load of airborne microorganisms. Furthermore, more door openings due to higher traffic can interfere with laminar airflow, which can itself increase the rate of SSI (87)(88)(89).…”

Section: Or Trafficmentioning

confidence: 99%

Prevention of Periprosthetic Joint Infection

Rezapoor

Parvızı

2015

The Journal of Arthroplasty

115

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“…Various prophylactic measures including improved patient selection (eg, elimination of remote infections), routine use of prophylactic antibiotics, use of laminar airflow, use of body exhaust suits, minimized activity in the operating room, and use of antibiotic impregnated bone cement have helped reduce the deep infection rate after primary THA from the historical 11% to less than 1% [12,13,53,54,56]. Currently reported deep infection rates after primary TKA are approximately 1% to 2% [14,48].…”

Section: Introductionmentioning

confidence: 99%

Is There a Role for Tissue Biopsy in the Diagnosis of Periprosthetic Infection?

Meermans

Haddad

2010

Clinical Orthopaedics &Amp; Related Research

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Background Successful treatment of an infected joint arthroplasty depends on correctly identifying the responsible pathogens. The value of a preoperative biopsy remains controversial. Questions/purposes We (1) compared the sensitivity and specificity of both tests separately and in combination, and (2) asked whether the combination of tissue biopsy and aspiration would improve our diagnostic yield in the evaluation of periprosthetic joint infections. Patients and Methods We prospectively followed 120 patients with suspected infection of a total joint arthroplasty: 64 with THAs and 56 with TKAs. All patients had aspiration with culture and biopsy. Results The sensitivity was 83% for aspiration, 79% for biopsy, and 90% for the combination of both techniques. The specificity was 100% for aspiration and biopsy and the combination. The overall accuracy was 84%, 81%, and 90%, respectively.

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Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system.

Cited by 268 publications

References 0 publications

Cost-effectiveness Analysis of Core Decompression

Cost-effectiveness Analysis of Core Decompression

Prevention of Periprosthetic Joint Infection

Is There a Role for Tissue Biopsy in the Diagnosis of Periprosthetic Infection?

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