Revision total knee arthroplasty: infection should be ruled out in all cases.
Publication/Presentation Date
6-1-2012
Abstract
We hypothesized that some aseptic revision total knee arthroplasty failures are indeed caused by occult infection. This prospective study recruited 65 patients undergoing revision total knee arthroplasty. The mean follow-up period was 19 months. Collected synovial fluid was analyzed by Ibis T5000 biosensor (Abbott Molecular Inc, Ill; a multiplex polymerase chain reaction technology). Cases were considered as infected or aseptic based on the surgeon's judgment and Ibis findings. Based on Ibis biosensor, 17 aseptic cases were indeed infected that had been missed. Of these 17 cases, 2 developed infection after the index revision. A considerable number of so-called aseptic failures seem to be occult infections that were not adequately investigated and/or miscategorized as aseptic failure. We recommend that all patients undergoing revision arthroplasty be investigated for periprosthetic joint infection.
Volume
27
Issue
6
First Page
1239
Last Page
1243
ISSN
1532-8406
Published In/Presented At
Rasouli, M. R., Harandi, A. A., Adeli, B., Purtill, J. J., & Parvizi, J. (2012). Revision total knee arthroplasty: infection should be ruled out in all cases. The Journal of arthroplasty, 27(6), 1239–43.e432. https://doi.org/10.1016/j.arth.2011.01.019
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
22386605
Department(s)
Administration and Leadership
Document Type
Article