Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty
There are many studies whose results reveal possible risk factors for developing an infection after a total knee arthroplasty (TKA). The objective of this study is to analyse the risk factors that depend on the hospital and, especially, if the patellar replacement influences the appearance of peripr...
| Main Authors: | , , , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | English |
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MDPI
2021
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| Online Access: | http://hdl.handle.net/10835/11977 |
| _version_ | 1789408402794872832 |
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| author | Delgado-González, Alberto Morales-Viaji, Juan José Criado-Albillos, Guillermo Martín-Rodríguez, Adoración del Pilar González-Santos, Josefa López-Liria, Remedios Collazo-Riobo, Carla Soto-Cámara, Raúl González-Bernal, Jerónimo J. |
| author_facet | Delgado-González, Alberto Morales-Viaji, Juan José Criado-Albillos, Guillermo Martín-Rodríguez, Adoración del Pilar González-Santos, Josefa López-Liria, Remedios Collazo-Riobo, Carla Soto-Cámara, Raúl González-Bernal, Jerónimo J. |
| author_sort | Delgado-González, Alberto |
| collection | DSpace |
| description | There are many studies whose results reveal possible risk factors for developing an infection after a total knee arthroplasty (TKA). The objective of this study is to analyse the risk factors that depend on the hospital and, especially, if the patellar replacement influences the appearance of periprosthetic infection. A retrospective study was performed, where data from the electronic registry of patients of people over 18 and who had undergone TKA, between the years 2015 and 2018, were reviewed. Dependent variables on the patients and the health care system were collected. The possible associations between the factors and the appearance of infection after TKA were studied using univariate and multivariate regression analyses. A total of 907 primary knee arthroplasties were included in the study. Those patients who had their patella replaced had a significantly higher risk of developing an infection (OR 2.07; 95% confidence interval 1.01–6.31). Likewise, patients who underwent surgery by surgeons with more than 10 years of experience were more than twice as likely to become infected than those operated on by younger surgeons (OR 2.64; 95%CI 1.01–6.97). Male patients were also found to be three times more likely to be infected than women (OR 2.99; 95%CI 1.32–5.74). Those interventions that were longer had a higher risk of infection. The same happened with patients who stayed in the hospital for a longer period of time. The rest of the variables did not show statistically significant results. In this study, it was found that the replacement of the patella may be a factor of infection, but it should be corroborated with randomized clinical trials. Furthermore, patients who underwent longer surgeries or those with prolonged hospital stays should be closely monitored to detect infection as soon as possible and establish the most appropriate treatment. |
| format | info:eu-repo/semantics/article |
| id | oai:repositorio.ual.es:10835-11977 |
| institution | Universidad de Cuenca |
| language | English |
| publishDate | 2021 |
| publisher | MDPI |
| record_format | dspace |
| spelling | oai:repositorio.ual.es:10835-119772023-04-12T19:19:02Z Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty Delgado-González, Alberto Morales-Viaji, Juan José Criado-Albillos, Guillermo Martín-Rodríguez, Adoración del Pilar González-Santos, Josefa López-Liria, Remedios Collazo-Riobo, Carla Soto-Cámara, Raúl González-Bernal, Jerónimo J. patella total knee arthroplasty infection There are many studies whose results reveal possible risk factors for developing an infection after a total knee arthroplasty (TKA). The objective of this study is to analyse the risk factors that depend on the hospital and, especially, if the patellar replacement influences the appearance of periprosthetic infection. A retrospective study was performed, where data from the electronic registry of patients of people over 18 and who had undergone TKA, between the years 2015 and 2018, were reviewed. Dependent variables on the patients and the health care system were collected. The possible associations between the factors and the appearance of infection after TKA were studied using univariate and multivariate regression analyses. A total of 907 primary knee arthroplasties were included in the study. Those patients who had their patella replaced had a significantly higher risk of developing an infection (OR 2.07; 95% confidence interval 1.01–6.31). Likewise, patients who underwent surgery by surgeons with more than 10 years of experience were more than twice as likely to become infected than those operated on by younger surgeons (OR 2.64; 95%CI 1.01–6.97). Male patients were also found to be three times more likely to be infected than women (OR 2.99; 95%CI 1.32–5.74). Those interventions that were longer had a higher risk of infection. The same happened with patients who stayed in the hospital for a longer period of time. The rest of the variables did not show statistically significant results. In this study, it was found that the replacement of the patella may be a factor of infection, but it should be corroborated with randomized clinical trials. Furthermore, patients who underwent longer surgeries or those with prolonged hospital stays should be closely monitored to detect infection as soon as possible and establish the most appropriate treatment. 2021-07-21T07:45:57Z 2021-07-21T07:45:57Z 2021-05-26 info:eu-repo/semantics/article 2077-0383 http://hdl.handle.net/10835/11977 en https://www.mdpi.com/2077-0383/10/11/2315 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI |
| spellingShingle | patella total knee arthroplasty infection Delgado-González, Alberto Morales-Viaji, Juan José Criado-Albillos, Guillermo Martín-Rodríguez, Adoración del Pilar González-Santos, Josefa López-Liria, Remedios Collazo-Riobo, Carla Soto-Cámara, Raúl González-Bernal, Jerónimo J. Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty |
| title | Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty |
| title_full | Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty |
| title_fullStr | Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty |
| title_full_unstemmed | Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty |
| title_short | Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty |
| title_sort | explanatory factors for periprosthetic infection in total knee arthroplasty |
| topic | patella total knee arthroplasty infection |
| url | http://hdl.handle.net/10835/11977 |
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