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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.10.2011 | Orthopaedic Surgery

Intraoperative subcutaneous wound closing culture sample: a predicting factor for periprosthetic infection after hip- and knee-replacement?

verfasst von: Christian B. Frank, Martin Adams, Markus Kroeber, Andreas Wentzensen, Volkmar Heppert, Dietrich Schulte-Bockholt, Thorsten Guehring

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 10/2011

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Abstract

Introduction

It is unknown whether intraoperative subcutaneous wound closing culture samples (WCCS) are useful to predict periprosthetic joint infection (PJI).

Method

Here we prospectively followed 167 out of a total of 175 consecutive patients with primary total hip (THR) or knee replacement (TKR) between 01/2002 and 12/2002 for a mean follow-up period of 5 years; of those patients, n = 159 (96.8%) underwent WCCS.

Results

The results showed a positive WCCS in n = 9 cases (5.8%). Nine patients developed postoperative wound complication and required revision surgery. Two patients developed signs of a deep periprosthetic infection; however, only one out of nine patients had initial positive WCCS.

Conclusion

Our results thus indicate that WCCS during primary joint replacement is not an appropriate predictive method to identify patients at risk for periprosthetic joint infections.

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Titel: Intraoperative subcutaneous wound closing culture sample: a predicting factor for periprosthetic infection after hip- and knee-replacement?
verfasst von: Christian B. Frank
Martin Adams
Markus Kroeber
Andreas Wentzensen
Volkmar Heppert
Dietrich Schulte-Bockholt
Thorsten Guehring
Publikationsdatum: 01.10.2011
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 10/2011
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-011-1327-0

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Intraoperative subcutaneous wound closing culture sample: a predicting factor for periprosthetic infection after hip- and knee-replacement?