Acute Periprosthetic Infections on Primary Knee Arthroplasty
Abstract: Introduction The increase of life expectancy turns into an increase of lower limbs arthroplasty, indicated because of articular degeneration, becoming a usual practice. However, on the knee, the poor soft tissue coverage predisposes to infectious complications. The treatment...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/34933 |
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I10-R327-article-34933 |
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ojs |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Periprosthetic infection arthroplasty SAMS periprotesica infección artroplastia SAMS . |
| spellingShingle |
Periprosthetic infection arthroplasty SAMS periprotesica infección artroplastia SAMS . Contreras, VY Hergenreder, VS Zeballos Cabrera , MM Quinteros , M Simondi , N Zárate, CL Sanchez Carpio , DG Acute Periprosthetic Infections on Primary Knee Arthroplasty |
| topic_facet |
Periprosthetic infection arthroplasty SAMS periprotesica infección artroplastia SAMS . |
| author |
Contreras, VY Hergenreder, VS Zeballos Cabrera , MM Quinteros , M Simondi , N Zárate, CL Sanchez Carpio , DG |
| author_facet |
Contreras, VY Hergenreder, VS Zeballos Cabrera , MM Quinteros , M Simondi , N Zárate, CL Sanchez Carpio , DG |
| author_sort |
Contreras, VY |
| title |
Acute Periprosthetic Infections on Primary Knee Arthroplasty |
| title_short |
Acute Periprosthetic Infections on Primary Knee Arthroplasty |
| title_full |
Acute Periprosthetic Infections on Primary Knee Arthroplasty |
| title_fullStr |
Acute Periprosthetic Infections on Primary Knee Arthroplasty |
| title_full_unstemmed |
Acute Periprosthetic Infections on Primary Knee Arthroplasty |
| title_sort |
acute periprosthetic infections on primary knee arthroplasty |
| description |
Abstract:
Introduction
The increase of life expectancy turns into an increase of lower limbs arthroplasty, indicated because of articular degeneration, becoming a usual practice. However, on the knee, the poor soft tissue coverage predisposes to infectious complications. The treatment for this requires a surgical debridement, infectious agents’s typification and specific antibiotic treatment. Even thought the preservation of the implant predominates over the retirement of it, some cases may require the extraction with posterior revisión once solved the infection.
Objective
To analyse comorbidities and most usual germs associated to acute periprosthetic infections on primary knee arthroplasty.
Methods and material
It was made a descriptive, transversal and retrospectiv study, which included patients treated between january 2017 and march 2020 with PKA secondary to arthrosis in ages between 60 and 80 years old. Were excluded patients less tan 60 years old, more tan 80 years old and revisión surgeries. They were selected those with acute infection (first 6 weeks after the procedure), comorbidities, treatment and identify germs.
Results
Over the determined period, were intervened 82 patients, of which 12 (14.6%) had an acute infection. Of 12 cases, 50% were women, the 50% rested were men, being the 100% of them urban people. 3 were diabetic, 2 hypertensive, 3 were diabetic and hypertensive, 1 patient was obese and 1 had no illness. The most frecuent germn isolated was Stafilococcus aureus MS on 7 cases (58.3%), Stafilococcus capitis (8.33%), Stafilococcus warneri (8.33%), Stafilococcus epidermidis MS (8.33%), Stafilococcus aureus MR (8.33%) and Pseudomona aeruginosa (8.33%). They all were treated with surgical debridements, 9 cases kept the primary implant, but in 3 cases it had to be removed.
Conclusions
Althought acute periprosthetic infections are not frecuent, the presence of it leads to a high morbidity because of the need of multiple surgery debridements and long term treatment with antibiotics. It would be important the screening of sams, the most frecuent germ involved for presurgical treatment.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/34933 |
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I10-R327-article-349332024-04-15T16:19:09Z Acute Periprosthetic Infections on Primary Knee Arthroplasty Infecciones periprotésica agudas en artroplastia primaria de rodilla A Contreras, VY Hergenreder, VS Zeballos Cabrera , MM Quinteros , M Simondi , N Zárate, CL Sanchez Carpio , DG Periprosthetic infection arthroplasty SAMS periprotesica infección artroplastia SAMS . Abstract: Introduction The increase of life expectancy turns into an increase of lower limbs arthroplasty, indicated because of articular degeneration, becoming a usual practice. However, on the knee, the poor soft tissue coverage predisposes to infectious complications. The treatment for this requires a surgical debridement, infectious agents’s typification and specific antibiotic treatment. Even thought the preservation of the implant predominates over the retirement of it, some cases may require the extraction with posterior revisión once solved the infection. Objective To analyse comorbidities and most usual germs associated to acute periprosthetic infections on primary knee arthroplasty. Methods and material It was made a descriptive, transversal and retrospectiv study, which included patients treated between january 2017 and march 2020 with PKA secondary to arthrosis in ages between 60 and 80 years old. Were excluded patients less tan 60 years old, more tan 80 years old and revisión surgeries. They were selected those with acute infection (first 6 weeks after the procedure), comorbidities, treatment and identify germs. Results Over the determined period, were intervened 82 patients, of which 12 (14.6%) had an acute infection. Of 12 cases, 50% were women, the 50% rested were men, being the 100% of them urban people. 3 were diabetic, 2 hypertensive, 3 were diabetic and hypertensive, 1 patient was obese and 1 had no illness. The most frecuent germn isolated was Stafilococcus aureus MS on 7 cases (58.3%), Stafilococcus capitis (8.33%), Stafilococcus warneri (8.33%), Stafilococcus epidermidis MS (8.33%), Stafilococcus aureus MR (8.33%) and Pseudomona aeruginosa (8.33%). They all were treated with surgical debridements, 9 cases kept the primary implant, but in 3 cases it had to be removed. Conclusions Althought acute periprosthetic infections are not frecuent, the presence of it leads to a high morbidity because of the need of multiple surgery debridements and long term treatment with antibiotics. It would be important the screening of sams, the most frecuent germ involved for presurgical treatment. Introducción El aumento en la expectativa de vida conlleva a un incremento de artroplastias en miembros inferiores, indicadas por degeneración articular, volviemdose una práctica habitual. Sin embargo, a nivel de la rodilla, la escasa cobertura de partes blandas predispone a complicaciones infecciosas. El tratamiento de la infección periprotésica, requiere desbridamiento quirúrgico, identificación del germen involucrado y tratamiento antibiótico especifico. Aunque la preservación del implante predomina en la sepsis aguda, determinados casos pueden requerir su extracción y posterior revisión, una vez resuelto el cuadro infeccioso. Objetivo Observar las comorbilidades y gérmenes asociados a infecciones periprotésicas agudas de artroplastias primarias de rodilla (ATR). Material y Métodos Se realizó un estudio descriptivo, transversal y retrospectivo que incluyo a pacientes intervenidos entre enero de 2017 y marzo de 2020 de ATR por gonartrosis, cuya edad se encontrara comprendida entre 60 a 80 años. Se excluyeron pacientes menores de 60 años, mayores de 80 años y cirugías de revisión. Se consignó aquellos casos que presentaron infección periprotésica aguda (primeras 6 semanas del procedimiento), sus comorbilidades, tratamiento instaurado y germen implicado. Resultados Durante el periodo considerado, fueron intervenido 82 pacientes, de los cuales 12 (14,6 %) tuvo una infección periprotésica aguda. De los 12 casos, el 50% eran mujeres, el 50% restante hombres, siendo el 100% habitantes en zona urbana. 3 eran diabéticos, 2 hipertensos, 3 diabéticos e hipertensos, 1 paciente era obeso y 1 paciente no presentaba comorbilidades. El agente bacteriológico más frecuente fue el Staphylococcus aureus (SAMS) en 7 casos (58,3 %), Staphylococcus capitis (1 paciente, 8,33 %), Staphylococcus warneri (1 paciente, 8,33 %), Staphylococcus epidermidis MS (1 paciente, 8,33 %), Staphylococcus aureus (SAMR) 1 paciente, 8,33 % y Pseudomona aeruginosa (1 paciente, 8,33%). Todos fueron tratados con desbridamiento quirúrgico, 9 casos conservaron el implante primario y en 3 se retiró el material protésico. Conclusiones Si bien las infecciomes periprotesicas agudas no son frecuentes, la presencia de la misma conlleva a una alta morbilidad debido a la demanda de limpiezas quirurgicas y tratamientos prolongados de antibioticos; resultaria importante el screening de SaMS, germen mas frecuente involucrado, para tratamiento oportuno prequirurgico. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34933 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |