The parameters affecting the success of irrigation and debridement with component retention in the treatment of acutely infected total knee arthroplasty

Jae Gyoon Kim, Ji Hoon Bae, Seung Yup Lee, Won Tae Cho, Hong Chul Lim

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: The aims of our study were to evaluate the success rate of irrigation and debridement with component retention (IDCR) for acutely infected total knee arthroplasty (TKA) (< 4 weeks of symptom duration) and to analyze the factors affecting prognosis of IDCR.

Methods: We retrospectively reviewed 28 knees treated by IDCR for acutely infected TKA from 2003 to 2012. We evaluated the success rate of IDCR. All variables were compared between the success and failure groups. Multivariable logistic regression analysis was also used to examine the relative contribution of these parameters to the success of IDCR.

Results: Seventeen knees (60.7%) were successfully treated. Between the success and failure groups, there were significant differences in the time from primary TKA to IDCR (p = 0.021), the preoperative erythrocyte sedimentation rate (ESR; p = 0.021), microorganism (p = 0.006), and polyethylene liner exchange (p = 0.017). Multivariable logistic regression analysis of parameters affecting the success of IDCR demonstrated that preoperative ESR (odds ratio [OR], 1.02; p = 0.041), microorganism (OR, 12.4; p = 0.006), and polyethylene liner exchange (OR, 0.07; p = 0.021) were significant parameters.

Conclusions: The results show that 60.7% of the cases were successfully treated by IDCR for acutely infected TKA. The preoperative ESR, microorganism, and polyethylene liner exchange were factors that affected the success of IDCR in acutely infected TKA.

Original languageEnglish
Pages (from-to)69-76
Number of pages8
JournalCiOS Clinics in Orthopedic Surgery
Volume7
Issue number1
Publication statusPublished - 2015 Jan 1

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Knee Replacement Arthroplasties
Debridement
Polyethylene
Therapeutics
Odds Ratio
Knee
Logistic Models
Regression Analysis
Blood Sedimentation
Statistical Factor Analysis

Keywords

  • Arthroplasty
  • Debridement
  • Knee

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

The parameters affecting the success of irrigation and debridement with component retention in the treatment of acutely infected total knee arthroplasty. / Kim, Jae Gyoon; Bae, Ji Hoon; Lee, Seung Yup; Cho, Won Tae; Lim, Hong Chul.

In: CiOS Clinics in Orthopedic Surgery, Vol. 7, No. 1, 01.01.2015, p. 69-76.

Research output: Contribution to journalArticle

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