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

Mercurio, Michele; Castioni, Davide; Cosentino, Orlando; Familiari, Filippo; Iannò, Bruno; Gasparini, Giorgio; Galasso, Olimpio

doi:10.1007/s00402-022-04512-3

Arch Orthop Trauma Surg

2022

DOI: 10.1007/s00402-022-04512-3

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

Michele Mercurio

Davide Castioni

Orlando Cosentino

et al.

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Cited by 2 publications

References 31 publications

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Complications of total elbow arthroplasty

Cha,

Ga,

Kim

et al. 2023

Arch Hand Microsurg

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The indications for total elbow arthroplasty have been expanded beyond severe arthritis to include acute comminuted fractures. Advances in implant manufacturing and surgical techniques in recent decades have led to increasingly better results. Semiconstrained implants are most commonly used, followed by conversion-type and unlinked implants. However, the results are still worse than those of arthroplasty in the knee or hip joint, and various complications such as aseptic loosening, infection, bushing wear, and periprosthetic fractures still occur. As aging adults are increasingly indicated for surgery, we inevitably face complications that are not easy to control. In this review, we discuss intraoperative and late complications, their prevention, and treatment options.

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Complications of total elbow arthroplasty

Cha,

Ga,

Kim

et al. 2023

Arch Hand Microsurg

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Knee Arthrodesis for Periprosthetic Knee Infection: Fusion Rate, Complications, and Limb Salvage—A Systematic Review

Mercurio,

Gasparini,

Cofano

et al. 2024

Healthcare

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The aim of this systematic review was to investigate the outcomes of knee arthrodesis (KA) after periprosthetic joint infection (PJI) of the knee. Differences in clinical outcomes and complication rates among the intramedullary nailing (IMN), external fixation (EF), and compression plating (CP) procedures were compared. A total of 23 studies were included. Demographics, microbiological data, types of implants, surgical techniques with complications, reoperations, fusion, and amputation rates were reported. A total of 787 patients were evaluated, of whom 601 (76.4%), 166 (21%), and 19 (2.4%) underwent IMN, EF, and CP, respectively. The most common causative pathogen was coagulase-negative Staphylococcus (CNS). Fusion occurred in 71.9%, 78.8%, and 92.3% of the patients after IMN, EF, and CP, respectively, and no statistically significant difference was found. Reinfection rates were 14.6%, 15.1%, and 10.5% after IMN, EF, and CP, respectively, and no statistically significant difference was found. Conversion to amputation occurred in 4.3%, 5%, and 15.8% of patients after IMN, EF, and CP, respectively; there was a higher rate after CP than after EF. The IMN technique is the most common option used for managing PJI with KA. No differences in terms of fusion, reinfection, or conversion-to-amputation rates were reported between IMN and EF. CP is rarely used, and the high amputation rate represents an important limitation of this technique.

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

Cited by 2 publications

References 31 publications

Complications of total elbow arthroplasty

Complications of total elbow arthroplasty

Knee Arthrodesis for Periprosthetic Knee Infection: Fusion Rate, Complications, and Limb Salvage—A Systematic Review

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