Low Infection Rates in Total Knee Arthroplasty in End Stage Renal Failure Patients
End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each c...
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| Published in | The Journal of arthroplasty Vol. 31; no. 1; pp. 250 - 252 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.01.2016
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| Abstract | End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each case was followed up for an average of 5.1years. We report no cases of infection and also an overall improvement in multiple validated outcome measures. There were, however, 2 cases of periprosthetic loosening. As the patients in our series were generally younger and none was diagnosed with stroke or peripheral vascular disease at the time of surgery, we believe that careful patient selection is key to reducing infection rates in this challenging group of patients. |
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| AbstractList | End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each case was followed up for an average of 5.1years. We report no cases of infection and also an overall improvement in multiple validated outcome measures. There were, however, 2 cases of periprosthetic loosening. As the patients in our series were generally younger and none was diagnosed with stroke or peripheral vascular disease at the time of surgery, we believe that careful patient selection is key to reducing infection rates in this challenging group of patients. Abstract End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each case was followed up for an average of 5.1 years. We report no cases of infection and also an overall improvement in multiple validated outcome measures. There were, however, 2 cases of periprosthetic loosening. As the patients in our series were generally younger and none was diagnosed with stroke or peripheral vascular disease at the time of surgery, we believe that careful patient selection is key to reducing infection rates in this challenging group of patients. End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each case was followed up for an average of 5.1 years. We report no cases of infection and also an overall improvement in multiple validated outcome measures. There were, however, 2 cases of periprosthetic loosening. As the patients in our series were generally younger and none was diagnosed with stroke or peripheral vascular disease at the time of surgery, we believe that careful patient selection is key to reducing infection rates in this challenging group of patients. End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each case was followed up for an average of 5.1 years. We report no cases of infection and also an overall improvement in multiple validated outcome measures. There were, however, 2 cases of periprosthetic loosening. As the patients in our series were generally younger and none was diagnosed with stroke or peripheral vascular disease at the time of surgery, we believe that careful patient selection is key to reducing infection rates in this challenging group of patients.End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each case was followed up for an average of 5.1 years. We report no cases of infection and also an overall improvement in multiple validated outcome measures. There were, however, 2 cases of periprosthetic loosening. As the patients in our series were generally younger and none was diagnosed with stroke or peripheral vascular disease at the time of surgery, we believe that careful patient selection is key to reducing infection rates in this challenging group of patients. |
| Author | Yeo, Seng Jin Ling, Zhixing Marcus Pang, Hee Nee Soong, Jun Wei Loh, Bryan Lo, Ngai Nung |
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| Cites_doi | 10.1016/j.arth.2005.07.008 10.1097/00003086-198911000-00004 10.1302/0301-620X.92B11.23870 10.1177/230949901202000220 10.3109/17453674.2013.878829 10.1097/00003086-200204000-00040 10.1302/0301-620X.80B1.7859 10.1097/00003086-200111000-00003 |
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| References_xml | – volume: 80 start-page: 63 year: 1998 ident: bb0030 article-title: Questionnaire on the perceptions of patients of patients about total knee replacement publication-title: J Bone Joint Surg (Br) – volume: 397 start-page: 350 year: 2002 ident: bb0055 article-title: Complications of joint arthroplasty in patients with end-stage renal disease on hemodialysis publication-title: Clin Orthop Relat Res – volume: 85 start-page: 71 year: 2014 ident: bb0015 article-title: Can total knee arthroplasty be safely performed in patients with chronic renal disease? publication-title: Acta Orthop – volume: 89 start-page: 261 year: 1998 ident: bb0065 article-title: Surgical treatments for orthopaedic complications in long-term haemodialysis patients: a review of 546 cases over the last 8 publication-title: Fukuoka Igaku Zasshi – volume: 248 start-page: 13 year: 1989 ident: bb0025 article-title: Rationale of the Knee Society clinical rating system publication-title: Clin Orthop Relat Res – volume: 92 start-page: 1535 year: 2010 ident: bb0050 article-title: Rates of infection and revision in patients with renal disease undergoing total knee replacement in Scotland publication-title: J Bone Joint Surg (Br) – volume: 90-B start-page: 326 year: 2008 ident: bb0005 article-title: The economic consequences of infected knee arthroplasty publication-title: J Bone Joint Surg (Br) – year: 2009 ident: bb0040 – year: 2010 ident: bb0020 article-title: National Chronic Kidney Disease Fact Sheet: General Information and National Estimates on Chronic Kidney Disease in the United States – year: 2000 ident: bb0035 article-title: How to score version two of the SF-36 Health Survey – volume: 21 start-page: 324 year: 2006 ident: bb0070 article-title: Total hip arthroplasty in patients with renal failure: a comparison between transplant and dialysis patients publication-title: J Arthroplasty – volume: 20 start-page: 236 year: 2012 ident: bb0010 article-title: Review article: risk factors of infection following total knee arthroplasty publication-title: J Orthop Surg (Hong Kong) – volume: 69 start-page: 667 year: 2012 ident: bb0075 article-title: Joint arthroplasty in patients on long-term renal dialysis. 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Qualification, risks and benefits publication-title: Przegl Lek |
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| SubjectTerms | Adult Aged Arthroplasty, Replacement, Knee - adverse effects end stage renal failure Female Humans infection Kidney Failure, Chronic - complications Male Middle Aged Orthopedics osteoarthritis Osteoarthritis, Knee - complications Osteoarthritis, Knee - surgery outcome scores Postoperative Complications Prosthesis Failure Prosthesis-Related Infections - diagnosis Reoperation - adverse effects Retrospective Studies Risk Factors Severity of Illness Index total knee arthroplasty Treatment Outcome |
| Title | Low Infection Rates in Total Knee Arthroplasty in End Stage Renal Failure Patients |
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