Which Patients with Chronic Periprosthetic Joint Infection Are Less Suitable to Successful Two Stage Exchange Arthroplasty Surgery? A Retrospective Clinical Trial
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Demographics and Population Characteristics
3.2. Risk Factors
3.3. Pathogens
3.3.1. Gram+ Subgroup
3.3.2. Gram− Subgroup
3.3.3. Polymicrobial Subgroup
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Group A | Group B | |||
---|---|---|---|---|
Male to Female Ratio | 10:4 | 4:3 | ||
Age at Surgery | 51 (31–82) | 57.7 (27–86) | ||
Primary Diagnosis for THA | ||||
Primary Arthritis | 6 | 1 | ||
Secondary | ||||
AVNH | 1 | - | ||
DDH | 1 | 1 | ||
Post Fracture | 2 | 2 | ||
Unknown | 4 | 3 | ||
Surgical Approach | ||||
PL | 11 | 4 | ||
DL | 3 | 2 | ||
DA | - | 1 | ||
I&D | 8/14 | 5/7 |
Group A | Group B | ||
---|---|---|---|
BMI | |||
≤25 | 7 | 4 | |
25 < BMI < 30 | 5 | 2 | |
≥30 | 2 | 1 | |
ASA score | |||
I | 1 | - | |
II | 7 | 4 | |
III | 6 | 3 | |
IV | - | - | |
Diabetes | |||
I | 1 | - | |
II | 3 | 1 | |
Alcohol Abuse | - | - | |
Smoking Habits | 5 | 3 | |
Active infections | 3 | 2 | |
Rheumatic disease | - | - | |
Malignancy | 1 (Breast Cancer) | 1 (Chronic Lymphoproliferative syndrome) | |
IVDA | 2 | 1 | |
Revision Surgery | 7 | 2 | |
CVD | HF AF | 3 1 | 1 - |
Mood Disorders | 1 | 3 |
Pathogens | Group A | Group B | |||
---|---|---|---|---|---|
Single | |||||
Gram+ | 10 | 1 S. Epidermidis | 2 | 1 S. Epidermidis | |
3 S. Aureus | 1 MRSA | ||||
1 MRSE | |||||
1 MRSA | |||||
1 E. Faecalis | |||||
1 S. Pyogenes | |||||
1 S. Capitis | |||||
1 S. Caprae | |||||
Gram− | 2 | 1 E. Cloacae | 1 | 1 P. Aerugionsa | |
1 P. Aeruginosa | |||||
Polymicrobial | 2 | 1 C. Striatum + MRSE | 4 | 1 MRSE + S. Lugdunensis | |
1 MRSE + E. Coli + S. Haemoliticus | 1 P. Aeruginosa + P. Mirabilis + K. Pneumoniae + S. Aureus | ||||
1 S. Aureus + P. Aeruginosa | |||||
1 S. Aureus +Drug resistant gram− |
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Di Martino, A.; Di Carlo, G.; Pederiva, D.; Rossomando, V.; Pilla, F.; Brunello, M.; D’Agostino, C.; Tassinari, L.; Zamparini, E.; Faldini, C. Which Patients with Chronic Periprosthetic Joint Infection Are Less Suitable to Successful Two Stage Exchange Arthroplasty Surgery? A Retrospective Clinical Trial. Clin. Pract. 2023, 13, 190-199. https://doi.org/10.3390/clinpract13010017
Di Martino A, Di Carlo G, Pederiva D, Rossomando V, Pilla F, Brunello M, D’Agostino C, Tassinari L, Zamparini E, Faldini C. Which Patients with Chronic Periprosthetic Joint Infection Are Less Suitable to Successful Two Stage Exchange Arthroplasty Surgery? A Retrospective Clinical Trial. Clinics and Practice. 2023; 13(1):190-199. https://doi.org/10.3390/clinpract13010017
Chicago/Turabian StyleDi Martino, Alberto, Gabriele Di Carlo, Davide Pederiva, Valentino Rossomando, Federico Pilla, Matteo Brunello, Claudio D’Agostino, Leonardo Tassinari, Eleonora Zamparini, and Cesare Faldini. 2023. "Which Patients with Chronic Periprosthetic Joint Infection Are Less Suitable to Successful Two Stage Exchange Arthroplasty Surgery? A Retrospective Clinical Trial" Clinics and Practice 13, no. 1: 190-199. https://doi.org/10.3390/clinpract13010017