Wound complications following revision total knee arthroplasty: Prevalence and outcomes

Joseph Koressel,Brian A Perez,Gregory T Minutillo, Caroline B Granruth, Sand Mastrangelo,Gwo-Chin Lee

The Knee(2023)

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摘要
Fourteen patients following revision TKA (2.4%) required return to the OR for a wound complication, including 7 of 399 (1.8%) patients who underwent aseptic revision TKA and 7 of 186 (3.8%) patients undergoing reimplantation TKA (p = 0.139). Aseptic revisions with wound complications were more likely to develop subsequent deep infection (HR 10.04, CI 2.24-45.03, p = 0.003), but this did not hold true for reimplantations (HR 1.17, CI 0.28-4.91, p = 0.829). Risk factors for wound complication included atrial fibrillation when all patients were combined (RR 3.98, CI 1.15-13.72, p = 0.029), connective tissue disease in the aseptic revision group (RR 7.1, CI 1.1-44.7, p = 0.037), and a history of depression in the re-implantation group (RR 5.8, CI 1.1-31.5, p = 0.042).
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关键词
Wound complication,Revision total knee arthroplasty,Periprosthetic joint infection,Risk factors,Prevalence,Outcomes
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