Acute hematogenous infection following total hip and knee arthroplasty

Beau S Konigsberg, Craig J Della Valle, Nicholas T. Ting, Fang Qiu, Scott M. Sporer

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Forty consecutive patients (42 joints; 22 TKA, 20 THA) treated for acute hematogenous infections were reviewed. All patients underwent irrigation and debridement and exchange of the modular components. At a mean of 56. months (range, 25-124. months) recurrent infection, requiring surgery, developed in 9 of the 42 joints (21%); 8 of the 9 recurrent infections were in patients with a staphylococcal infection (P= 0.0004). Ten of the 40 patients (25%) died within 2 years of infection. Irrigation and debridement for the treatment of an acute hematogenous infection was successful in the majority of patients (76% survivorship at 2 years). Non-staphylococcal infections had a particularly low failure rate (96% survivorship at 2 years). The 2. year mortality rate among this subset of patients was strikingly high.

Original languageEnglish (US)
Pages (from-to)469-472
Number of pages4
JournalJournal of Arthroplasty
Volume29
Issue number3
DOIs
StatePublished - Mar 1 2014

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Knee Replacement Arthroplasties
Hip
Infection
Debridement
Survival Rate
Joints
Tacrine
Staphylococcal Infections
Mortality

Keywords

  • Complication
  • Hip arthroplasty
  • Infection
  • Knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Acute hematogenous infection following total hip and knee arthroplasty. / Konigsberg, Beau S; Valle, Craig J Della; Ting, Nicholas T.; Qiu, Fang; Sporer, Scott M.

In: Journal of Arthroplasty, Vol. 29, No. 3, 01.03.2014, p. 469-472.

Research output: Contribution to journalArticle

Konigsberg, Beau S ; Valle, Craig J Della ; Ting, Nicholas T. ; Qiu, Fang ; Sporer, Scott M. / Acute hematogenous infection following total hip and knee arthroplasty. In: Journal of Arthroplasty. 2014 ; Vol. 29, No. 3. pp. 469-472.
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