原发性全膝关节置换术治疗膝关节感染后遗症。
Primary total knee arthroplasty in infection sequelae about the native knee.
机构信息
Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, Korea.
出版信息
J Arthroplasty. 2014 Dec;29(12):2271-5. doi: 10.1016/j.arth.2014.01.013. Epub 2014 Jan 21.
The aim of this study is to assess the results of primary total knee arthroplasty (TKA) after bone or joint sepsis about the native knee and to analyze the risk factors of periprosthetic infection. Sixty-two patients (62 knees), considered to have prior sepsis history to be resolved, underwent primary TKA and were followed during a mean of 6.1years (range, 2-10.4years). Of the 62 patients, periprosthetic infection occurred in 6 after primary TKA (9.7%). Five of 6 patients grew the same organism as prior infection. The number of prior surgeries undertaken for deep infection was found to be an independent risk factor of periprosthetic infection.
本研究旨在评估原发性全膝关节置换术（TKA）治疗原发性膝关节骨髓炎或关节炎的结果，并分析假体周围感染的危险因素。62 例（62 膝）患者既往有骨髓炎或关节炎病史，已治愈，行初次 TKA 治疗，平均随访 6.1 年（2-10.4 年）。62 例患者中，6 例（9.7%）在初次 TKA 后发生假体周围感染。其中 5 例感染的病原体与既往感染相同。初次手术治疗深部感染的次数被认为是假体周围感染的独立危险因素。
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