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在临时手术室进行初次髋关节和膝关节置换术会导致假体周围深部感染显著增加。

Primary hip and knee arthroplasty in a temporary operating theatre is associated with a significant increase in deep periprosthetic infection.

作者信息

Bloch B V, Shah A, Snape S E, Boswell T C J, James P J

机构信息

Nottingham University Hospitals NHS Trust, City Hospital Campus, Hucknall Road, Nottingham NG5 1PB, UK.

出版信息

Bone Joint J. 2017 Jul;99-B(7):917-920. doi: 10.1302/0301-620X.99B7.BJJ-2016-1293.R1.

DOI:10.1302/0301-620X.99B7.BJJ-2016-1293.R1
PMID:28663397
Abstract

AIMS

Infection following total hip or knee arthroplasty is a serious complication. We noted an increase in post-operative infection in cases carried out in temporary operating theatres. We therefore compared those cases performed in standard and temporary operating theatres and examined the deep periprosthetic infection rates.

PATIENTS AND METHODS

A total of 1223 primary hip and knee arthroplasties were performed between August 2012 and June 2013. A total of 539 (44%) were performed in temporary theatres. The two groups were matched for age, gender, body mass index and American Society of Anesthesiologists grade.

RESULTS

The deep infection rate for standard operating theatres was 0 of 684 (0%); for temporary theatres it was eight of 539 (1.5%) (p = 0.001).

CONCLUSION

Use of a temporary operating theatre for primary hip and knee arthroplasty was associated with an unacceptable increase in deep infection. We do not advocate the use of these theatres for primary joint arthroplasty. Cite this article: 2017;99-B:917-20.

摘要

目的

全髋关节或膝关节置换术后感染是一种严重的并发症。我们注意到在临时手术室进行的手术中术后感染有所增加。因此,我们比较了在标准手术室和临时手术室进行的手术病例,并检查了假体周围深部感染率。

患者与方法

2012年8月至2013年6月期间共进行了1223例初次髋关节和膝关节置换术。其中539例(44%)在临时手术室进行。两组在年龄、性别、体重指数和美国麻醉医师协会分级方面进行了匹配。

结果

标准手术室的深部感染率为684例中的0例(0%);临时手术室为539例中的8例(1.5%)(p = 0.001)。

结论

在初次髋关节和膝关节置换术中使用临时手术室会导致深部感染不可接受地增加。我们不主张将这些手术室用于初次关节置换术。引用本文:2017;99 - B:917 - 20。

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