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Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

27.08.2016 | Knee

Superficial wound infection does not cause inferior clinical outcome after TKA

verfasst von: Pau Guirro, Pedro Hinarejos, Lluís Puig-Verdie, Juan Sánchez-Soler, Joan Leal-Blanquet, Raul Torres-Claramunt, Joan-Carles Monllau

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 10/2016

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Abstract

Purpose

Superficial wound infections do not lead to chronic prosthetic joint infection. Therefore, it has been hypothesized that a superficial infection of a surgical wound following a successfully treated TKA does not lead to a lower functional outcome at long-term follow-up. This may be due to early diagnosis and proper treatment without interrupting the rehabilitation programme. The purpose of this study was to support the hypothesis by comparing the functional outcome and health-related quality of life (HRQoL) of superficial infections treated successfully after primary total knee arthroplasty (TKA).

Methods

In a 3000 prospective TKA cohort, 45 superficial infections were compared to a control group of 629 TKA without complications. The functional outcome, health quality, expectations and revision rate were compared between the study and control groups.

Results

The groups were comparable in terms of demographic values and preoperative scores. The mean follow-up was 74.57 months (SD ± 7.1). No statistical differences were observed relative to functional outcomes at the final follow-up as measured with the Knee Society Score (156.9 vs 168.4; n.s) and range of motion (0.2–114.4 vs 0.7–112.3; n.s). For the HRQoL, no differences in the physical (40.0 vs 40.6; n.s) and mental (43.2 vs 45.8; n.s) SF-36 scores were found. Neither were there differences in post-operative expectations and the revision rate.

Conclusions

In a long-term follow-up, a different clinical outcome and HRQoL were not obtained after a successfully treated superficial infection following a TKA when compared to a TKA without complications. Based on the findings of the study, additional complications are not anticipated after a successfully treated superficial wound infection in TKA. Therefore, a different follow-up to that of a non-complicated TKA is not recommended when the early post-operative superficial wound infection has been appropriately treated. A superficial infection successfully treated in the acute post-operative period should be considered solved at long-term follow-up.

Level of evidence

Therapeutic study, Level III.

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Titel: Superficial wound infection does not cause inferior clinical outcome after TKA
verfasst von: Pau Guirro
Pedro Hinarejos
Lluís Puig-Verdie
Juan Sánchez-Soler
Joan Leal-Blanquet
Raul Torres-Claramunt
Joan-Carles Monllau
Publikationsdatum: 27.08.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 10/2016
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-016-4290-z

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Superficial wound infection does not cause inferior clinical outcome after TKA