Postoperative Infection Related with the Total Elbow Arthroplasty (Kudo’s Prosthesis) in Rheumatoid Arthritis

Minami, Masayasu; Kondo, Makoto; Nishio, Yasuhiko; Suzuki, Kôji; Kato, Sadatoshi; Kawamura, Syosuke; Kato, Hiroyuki; Minami, Akio

doi:10.1142/s2424835518500078

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…In total, 802 articles were retrieved, 321 duplicates were excluded, and 26 studies were finally included after screening the titles and abstracts according to the inclusion and exclusion criteria 8,17–41 . The literature screening process is presented in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of wound infections and postoperative complications after total elbow arthroplasty for rheumatoid arthritis: A meta‐analysis

Chen,

Liu,

2023

International Wound Journal

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This study aimed to systematically evaluate the prevalence of surgical site wound infections and postoperative complications after total elbow arthroplasty (TEA) in patients with rheumatoid arthritis (RA) for clinical research and application. Embase, PubMed, Cochrane Library, CNKI, VIP, CBM, and Wanfang databases were electronically searched to collect clinical studies on the application of TEA in the treatment of RA from inception to August 2023. Two independent researchers performed literature screening, data extraction, and quality assessment. A meta‐analysis was performed using the R 4.3.1 software. Overall, 26 studies with a total of 2374 patients were included. The results of the meta‐analysis revealed that after TEA in patients with RA, the prevalence of surgical site wound infections and postoperative complications was 3.37% (95% confidence interval [CI]: 2.68%–4.13%), and 31.63% (95% CI: 24.97%–38.28%), respectively. The prevalence of surgical site wound infections is low, whereas that of postoperative complications is high; thus, the safety of TEA remains debatable. Owing to limitations on the quality and number of included studies, the findings need to be verified in higher‐quality studies.

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Section: Resultsmentioning

confidence: 99%

Prevalence of wound infections and postoperative complications after total elbow arthroplasty for rheumatoid arthritis: A meta‐analysis

Chen,

Liu,

2023

International Wound Journal

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“…The search identified 29 studies reporting on the prevalence of PEI. 1–29 This included two systematic reviews, one current concepts review, 22 retrospective case series or cohort studies, and four large database studies. There is a clear discrepancy and inconsistency in the reporting of infection rates and infecting organisms, which is most likely due to the methods of analysis used, the case heterogeneity of available series as well as the varying diagnostic criteria used to define deep infection and how it is reported.…”

Section: Resultsmentioning

confidence: 99%

“…This included one current concepts review and 12 retrospective case series or cohort studies. 3–5,8,9,11,16,27,29–33 Where reported, the organism most commonly isolated was Staphylococcus aureus (>50%) and Staphylococcus epidermidis (approximately 25%). 3,4,16,31 Other reported organisms include corynebacterium, Pseudomonas aeruginosa , propionibacterium acnes, beta-haemolytic streptococcus, Enterobacter cloacae and Klebsiella .…”

Section: Resultsmentioning

confidence: 99%

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Scoping review: Diagnosis and management of periprosthetic joint infection in elbow arthroplasty

et al. 2018

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Background Total elbow arthroplasty is an effective treatment for patients with painful elbow arthritis. Infection can be a serious complication. The aim of this scoping review was to document the available evidence on periprosthetic elbow infection. Methods A search of Medline, Embase and PubMed was performed; two authors screened results independently. Systematic reviews, randomised controlled trials, cohort studies, case–control studies and case series including periprosthetic elbow infection were eligible. Results A total of 46 studies were included. The median rate of periprosthetic elbow infection reported from recent published studies is 3.3%. The most commonly identified causative organisms are Staphylococcus aureus and Staphylococcus epidermidis. Risk factors include younger age, rheumatoid arthritis, obesity, previous surgery or infection to the elbow, and postoperative wound complications. Debridement, antibiotics and implant retention results in implant survival rates of 50–90%. Two-stage revision results in improved functional outcome scores, but with recurrent infection rates of 12–28%. Conclusions Total elbow arthroplasty carries a higher risk of infection when compared to other major joint replacements. The current body of literature is limited and is almost exclusively low volume retrospective case series. The best management of periprosthetic elbow infection is difficult to determine, but two-stage revision appears to be the gold standard.

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Revision surgery for periprosthetic elbow infection: eradication rate, complications, and functional outcomes—a systematic review

Mercurio

Castioni

Cosentino

et al. 2022

Arch Orthop Trauma Surg

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Postoperative Infection Related with the Total Elbow Arthroplasty (Kudo’s Prosthesis) in Rheumatoid Arthritis

Cited by 4 publications

References 9 publications

Prevalence of wound infections and postoperative complications after total elbow arthroplasty for rheumatoid arthritis: A meta‐analysis

Prevalence of wound infections and postoperative complications after total elbow arthroplasty for rheumatoid arthritis: A meta‐analysis

Scoping review: Diagnosis and management of periprosthetic joint infection in elbow arthroplasty

Revision surgery for periprosthetic elbow infection: eradication rate, complications, and functional outcomes—a systematic review

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