Previous fracture surgery is a major risk factor of infection after total knee arthroplasty

Abstract

This study identified previous history of fracture and remnants of internal fixation as major risk factors of infection after TKA. For clinical relevance, surgeons should be aware of potential infection when performing TKA in patients with these risk factors and patients should be informed of the potential risks.

Revision Total Knee Arthroplasty in the Young Patient: Is There Trouble on the Horizon?

“…Suarez et al and Hossain et al both found that infection led to a majority of revision failures (46% and 31%, respectively), especially those failures that occurred earlier after surgery 31,32 . This likely affirms many surgeons' qualms about performing multiple surgical procedures on the same joint, as the risk of infection is greater with each subsequent procedure 34,35 . Overall, our study showed a relatively poor six-year cumulative survivorship of revision total knee arthroplasties in the younger (71%) and older (66%) groups.…”

Eradication rates, risk factors, and implant selection in two-stage revision knee arthroplasty: a mid-term follow-up study

“…They observed significantly more frequent infections with open reduction and internal fixation after trauma to the knee joint and when osteosynthesis material remained in situ [7]. …”

Artroplastia de rodilla en el contexto de una fractura de rótula en gonartrosis severa

“…Se ha descrito que la cirugía de fracturas previa es un factor que incrementa el riesgo de infección en artroplastias de rodilla 9 . Este hecho iría a favor de la intervención de las 2 enfermedades a la vez, disminuyendo así el alto riesgo de infección que ya presentaba la paciente.…”