Rates of periprosthetic infection and surgical revision in Beijing (China) between 2014 and 2016: a retrospective multicenter cross-sectional study.,Journal of Orthopaedic Surgery and Research

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Rates of periprosthetic infection and surgical revision in Beijing (China) between 2014 and 2016: a retrospective multicenter cross-sectional study.
Journal of Orthopaedic Surgery and Research ( IF 2.6 ) Pub Date : 2019-12-26 , DOI: 10.1186/s13018-019-1520-3
Hui-Ming Peng ₁ , Long-Chao Wang ₁ , Ji-Ying Cheng ₂ , Yi-Xin Zhou ₃ , Hua Tian ₄ , Jian-Hao Lin ₅ , Wan-Shou Guo ₆ , Yuan Lin ₇ , Tie-Bing Qu ₈ , Ai Guo ₉ , Yong-Ping Cao ₁₀ , Xi-Sheng Weng ₁

Affiliation

Department of Orthopedics, Peking Union Medical College Hospital, CAMS & PUMC, No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Department of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, China.
Department of Orthopedics, Beijing Jishuitan Hospital, Beijing, 100035, China.
Department of Orthopedics, Peking University Third Hospital, Beijing, 100083, China.
Department of Orthopedics, Peking University People's Hospital, Beijing, 100044, China.
Department of Orthopedics, Sino-Japanese Friendship Hospital, Beijing, 100029, China.
Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.
Department of Orthopedics, China Rehabilitation Research Center Beijing Boai Hospital, Beijing, 100068, China.
Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Department of Orthopedics, Peking University First Hospital, Beijing, 100034, China.

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.

更新日期：2019-12-27

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