Yet more challenges for orthopaedic and trauma surgeons

Haddad, Fares S.

doi:10.1302/0301-620x.104b6.bjj-2022-0461

Cited by 4 publications

(2 citation statements)

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“…Ultimately, we feel that a single definition of PJI should be adopted, and favour the pragmatic approach of the European Bone and Joint Infection Society (EBJIS) definition as the natural successor to the MSIS definition of 2013. 7,[22][23][24] Clinicians may wish to reduce reliance on biomarkers and increase the emphasis on clinical, microbiological, or histological features. 25 The EBJIS definition proposes a three-level approach, classifying PJI into 'infection unlikely', 'infection likely', and 'infection confirmed' categories based on clinical, radiological, and laboratory findings.…”

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confidence: 99%

Periprosthetic joint infection: what next?

Rajput

Meek

Haddad

2022

The Bone & Joint Journal

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Periprosthetic joint infection (PJI) remains an extremely challenging complication. We have focused on this issue more over the last decade than previously, but there are still many unanswered questions. We now have a workable definition that everyone should align to, but we need to continue to focus on identifying the organisms involved. Surgical strategies are evolving and care is becoming more patient-centred. There are some good studies under way. There are, however, still numerous problems to resolve, and the challenge of PJI remains a major one for the orthopaedic community. This annotation provides some up-to-date thoughts about where we are, and the way forward. There is still scope for plenty of research in this area. Cite this article: Bone Joint J 2022;104-B(11):1193–1195.

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confidence: 99%

Periprosthetic joint infection: what next?

Rajput

Meek

Haddad

2022

The Bone & Joint Journal

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“…In recent years, with the increase in vehicles, the number of patients undergoing orthopedic surgery due to bone trauma and bone diseases has increased, and postoperative complications have also increased. [ 13 ] However, there are few studies on the effect of the surgical site on the occurrence of postoperative SSI, and this study found a positive correlation between surgical site (spine/arthrosis/trauma/others) and the occurrence of SSI in patients. [ 14 ] The reasons may be: that spinal and joint surgical incisions are cleaner, and most trauma surgeries are type III incisions, with an extensive range of surgical invasion, resulting in more soft tissue damage, thereby increasing the incidence of SSI.…”

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confidence: 87%

Independent risk factor for surgical site infection after orthopedic surgery

Feng

Guo

et al. 2022

Medicine

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No significant progress has been made in the study of orthopedic surgical site infection (SSI) after different orthopedic surgery, and the analysis and prevention of risk factors for orthopedic SSI urgently need to be solved. A total of 154 patients underwent orthopedic surgery from April 2018 to December 2020. General information such as gender, age, marriage, diagnosis, surgical site, and anesthesia method was recorded. Statistical methods included Pearson chi-square test, univariate and multivariate logistic regression analyses, and receiver operating characteristic (ROC) curves. Based on Pearson’s chi-square test, sex ( P = .005), age ( P = .027), marriage ( P = .000), diagnosis ( P = .034), and surgical site ( P = .000) were significantly associated with SSI after orthopedic surgery. However, in the multiple linear regression analysis, only the surgical site ( P = .035) was significantly associated with SSI after orthopedic surgery. In terms of multivariate logistic regression level, surgical site (odds ratio [OR] = 1.568, P = .039) was significantly associated with SSI. ROC curves were constructed to determine the effect of the surgical site on SSI after different orthopedic surgery (area under the curve [AUC] = 0.577, 95% CI = 0.487–0.0.666). In summary, the surgical site is an independent risk factor for SSI after orthopedic surgery, and “trauma” is more likely to develop SSI than spine, arthrosis, and others.

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