The Prevention of Periprosthetic Joint Infections

Küçükdurmaz, Fatih; Parvızı, Javad

doi:10.2174/1874325001610010589

Cited by 8 publications

(2 citation statements)

References 114 publications

(110 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several scholars reported that anemia raised the incidence of poor wound healing, incision infection, the length of hospital stay, and the risk of lower limb thrombosis. 21,22 However, results of the present research showed similar rates of transfusion and incidence of complications after TKA. The assumable reasons for the similar rates of incidence of complications were related to small sample size, necessitating further researches.…”

Section: Discussionsupporting

confidence: 60%

The Role of Knee Position in Blood Loss and Enhancement of Recovery after Total Knee Arthroplasty

et al. 2020

View full text Add to dashboard Cite

The study aimed to investigate the effects of postoperative position of knee on blood loss and functional recovery after total knee arthroplasty (TKA). We enrolled patients who underwent TKA from 2017 to 2019 in our department with osteoarthritis of the knee in this prospective and randomized study. The patients were randomly allocated to flexion or extension group. In the flexion group, the affected leg was elevated by 30 degrees at the hip and the knee was flexed by 30-degree, postoperatively, while in the extension group, the affected knee was fully extended postoperatively. Patients' data related to postoperative blood loss, Hospital for Special Surgery scores, pain intensity, usage of analgesic drugs, circumference of knee, and range of motion (ROM) of knee were recorded to assess the influence of postoperative leg position on clinical outcomes. Although the transfusion rate was similar between the two groups (p > 0.05), other parameters related to blood loss (including total blood loss, hidden blood loss, usage of analgesic drugs, and postoperative circumference of knee) were significantly lower in the flexion group than those in the extension group (p < 0.05). After 6 weeks and 6 months of rehabilitation, patients gained a similar ROM in the affected knee in both groups (p > 0.05). The length of hospital stay and medical expenses were similar in both groups. Incidence of wound infection and other complications was also similar in both groups (p > 0.05). Elevation of the hip by knee flexion of 30 degrees is an effective and simple method to reduce blood loss after TKA, and contributes to reduction of the dosage of analgesic drugs in the early postoperative period. The routine application of the present protocol also did not increase medical costs and length of hospital stay after TKA.

show abstract

Section: Discussionsupporting

confidence: 60%

The Role of Knee Position in Blood Loss and Enhancement of Recovery after Total Knee Arthroplasty

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Periprosthetic infection (PJI) is one of the most serious and destructive complications of artificial joint replacement [1] . The occurrence of PJI usually means subsequent revision surgery and the subsequent heavy medical and economic burden, as well as a significant increase in the probability of surgical failure [2,3] .…”

Section: Introductionmentioning

confidence: 99%

Application of ica D, agr, mec A, and mre B Gene Testing in Early Diagnosis of Periprosthetic Joint Infection

Lin

Jin²,

Pang

2021

International Surgery

View full text Add to dashboard Cite

Objective This study intends to explore the diagnostic efficiency and value of PCR in the early diagnosis of periprosthetic joint infection (PJI) based on the testing of the four staphylococcal specific genes ica D, eno, sar A and agr. Methods 41 samples of ultrasonic cleavage RNA eluate were extracted from the human joint model of PJI caused by the five most common PJI pathogens to detect the PCR of ica D, eno, sar A and agr genes. Based on the detection results, the sensitivity, specificity, positive and negative predictive value and accuracy of the four genes were analyzed and compared. Results eno test had a high sensitivity (83.33%). However, more false positive results affected the test specificity (47.06%); sar A test did not show false positive results, but the specificity was high (100%), but the sensitivity was low (41.67%); the sensitivity of ica D and agr test was 4.17% and 0%, respectively, and the clinical value was limited. Conclusion eno and sar A gene detection is of high value in early diagnosis of PJI. Reasonable design and sequential application of eno sensitivity preliminary diagnosis and sar A specific screening of false positive results are more beneficial to the early diagnosis of staphylococcal pathogenic PJI.

show abstract

Preoperative Planning From Medical Issues to Implants

Alcerro¹,

Lavernia²

2023

The Technique of Total Knee Arthroplasty

View full text Add to dashboard Cite

The Prevention of Periprosthetic Joint Infections

Cited by 8 publications

References 114 publications

The Role of Knee Position in Blood Loss and Enhancement of Recovery after Total Knee Arthroplasty

The Role of Knee Position in Blood Loss and Enhancement of Recovery after Total Knee Arthroplasty

Application of ica D, agr, mec A, and mre B Gene Testing in Early Diagnosis of Periprosthetic Joint Infection

Preoperative Planning From Medical Issues to Implants

Contact Info

Product

Resources

About