Complications - OtherAcute Kidney Injury Following Failed Total Hip and Knee Arthroplasty
Section snippets
Methods
We retrospectively collected data on consecutive patients who underwent surgery (revision TJA or otherwise) for failed primary TJA of the hip or knee at our institution between January 2000 and May 2013. A PJI was defined using criteria proposed by Musculoskeletal Infection Society criteria [12], [13] which include one of the following: 2 positive periprosthetic cultures with phenotypically identical organisms, a sinus tract communicated with the joint, or 3 positive minor criteria. The 3 minor
Results
A total of 3129 consecutive patients with failed primary TJAs underwent revision TJAs or other surgeries at our hospital between January 1, 2000, and May 31, 2013, including 2848 patients with revisions for aseptic reasons and 281 patients with development of PJI. Characteristics at the time of surgery are compared between these 2 groups in Table 2. Patients with PJI more often had TKA as opposed to THA (the original TJA of 59% of patients with PJI involved the knee vs 33% of patients with
Discussion
In an evaluation of 3129 consecutive, failed lower-extremity TJAs, patients with failure for PJI were significantly older, more obese, sicker, had more comorbidity (DM, HTN, CAD), and more often had knees replaced (vs hips) compared to patients with failure and revision for aseptic reasons. Regarding AKI, we found a relatively low incidence of 3.4% in the 2848 patients revised for aseptic reasons, but a significantly higher rate of 45% in the 281 patients treated for PJI. The rate was extremely
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One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to https://doi.org/10.1016/j.arth.2018.06.019.