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Rates of periprosthetic infection and surgical revision in Beijing (China) between 2014 and 2016: a retrospective multicenter cross-sectional study

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单位: [1]Department of Orthopedics, Peking Union Medical College Hospital, CAMS & PUMC, No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China [2]Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China [3]Department of Orthopedics, Beijing Jishuitan Hospital, Beijing 100035, China [4]Department of Orthopedics, Peking University Third Hospital, Beijing 100083, China [5]Department of Orthopedics, Peking University People’s Hospital, Beijing 100044, China [6]Department of Orthopedics, Sino-Japanese Friendship Hospital, Beijing 100029, China [7]Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China [8]Department of Orthopedics, China Rehabilitation Research Center Beijing Boai Hospital, Beijing 100068, China [9]Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China [10]Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
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关键词: Arthroplasty Hip and knee replacement Infection Revision

摘要:
Background: Periprosthetic joint infection (PJI) is a rare but devastating complication after total joint arthroplasty. There is a paucity of data on the incidence and prevalence of periprosthetic infection in mainland China. This study aimed to analyze the rates of surgical revision after arthroplasty due to PJI and the procedures followed in Beijing, China. Methods: The study involved a retrospective multicenter cross-sectional survey of patients undergoing revisions for periprosthetic infection after hip/knee arthroplasty at nine hospitals in Beijing from 2014 to 2016. Age, gender, body mass index, primary diagnosis, comorbidity, primary surgery, treatment methods, and post-revision complications were analyzed. Results: A total of 38,319 hip/knee arthroplasties and 366 (0.96%) revisions for PJI were identified. Of these, 161 (161/14,110; 1.14%) revisions involved hip arthroplasty, whereas 205 (205/24,209; 0.85%) revisions were due to knee arthroplasty. Procedures for revisions of infected hip included 7 (4.3%) cases of open debridement and prosthesis retention, 32 (19.9%) cases of one-stage exchange, 121 (75.2%) cases of two-stage exchange, and 1 (0.007%) case of hip dissection. As for the infected knee, the procedures included 45 (22.0%) cases of open debridement and prosthesis retention, 13 (6.3%) cases of one-stage exchange, 143 (69.8%) cases of two-stage exchange, and 4 (0.02%) cases of knee fusion. Conclusions: The study found the rates of revision due to PJI to be low. Nonetheless, the incidence of PJI in mainland China could be higher and calls for more elaborate studies in geographically and socioeconomically diverse health institutions.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 骨科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 骨科
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出版当年[2017]版:
Q3 ORTHOPEDICS
最新[2023]版:
Q1 ORTHOPEDICS

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2017版] 出版当年五年平均[2013-2017] 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Department of Orthopedics, Peking Union Medical College Hospital, CAMS & PUMC, No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
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