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Infection complicating 794 primary and revision arthroscopies. Accuracy of actual prophylactic procedures against infection and results from a single orthopedic center in Poland Cover

Infection complicating 794 primary and revision arthroscopies. Accuracy of actual prophylactic procedures against infection and results from a single orthopedic center in Poland

Open Access
|Aug 2022

Figures & Tables

Patients age, BMI, time of surgery and hospital stay in cases with and without infection

Without infection (n = 790)Infected (n = 4) 95% CI
MSDMSDtpLLULd Cohena
Age (years)37.1515.8145.2515.48−1.020.307−23.657.460.51
BMI25.304.4926.153.36−0.380.706−5.263.560.19
Time of surgery (minutes)84.8547.88118.7555.13−1.410.158−81.0413.240.71
Length of stay in the hospital (days)2.110.924.502.52−1.900.154−6.391.622.57

Knee-only arthroscopies - with and without infection

Without infection (n = 641)Infected (n = 3) 95% CI
MSDMSDtpLLULd Cohena
Age (years)36.5215.9339.3312.22−0.310.760−20.9015.270.18
BMI25.164.3424.832.560.130.898−4.615.250.07
Time of surgery (minutes)80.6449.0291.6712.58−0.390.697−66.6544.600.23
Length of stay in the hospital (days)2.150.943.331.15−2.190.029−2.25−0.121.26

Demographic data, details of surgery, risk factors for SAAA in infected cases

DATA ANALYSEDPatient's initials
JKMBEWHG
Area of the body, procedureknee, arthrolysisknee, arthrolysisknee, ACL reconstructionshoulder, rotator cuff reconstruction
Age (years)42502663
Sex (M-male; F-female)MMFF
Primary/revisionrevisionrevisionrevisionprimary
Using of non-resorbable implantnonoyesyes
Using of drainsyesyesyesno
Time of surgery (hours : minutes)01:4501:3001:2003:20
BMI26.62621.930
Length of stay in the hospital4 days4 days2 days8 days
Onset of infection from index operation7 days13 days47 days5 month 2 weeks
PathogenEnterobacter cloacaeStaphylococcus lugdunensisPropionibacterium acnesunknown

Demographic characteristics of 794 elective arthroscopies analyzed for postoperative infection

DATA ANALYSEDOPERATED JOINT
KneeShoulderHipAnkleWristMTP jointElbow
Number of analyzed cases794644655222632
Age – years (mean. SD. range)37.19±15.8 (7–79)36.51±15.9 (7–79)42.63±16.91 (15–78)36.81±10.7 (14–65)43.77±14.9 (23–78)27.33±14.4 (13–52)46.67±10.4 (37–61)16.5±11.5 (15–38)
SexF274 : M520F226 : M418F16 : M49F16 : M49F6 : M16F4 : M2F1 : M2F0 : M2
Primary Revision83.8% (665 vs. 129)81.5% (525 vs. 119)100% (65 vs.0)100% (52 vs.0)63.63%% (14 vs.8)100% (6 vs.0)100% (3 vs.0)100% (2 vs.0)
The use of nonabsorbable implant (%)55.8% (443 vs.351)54.66% (352 vs.292)72.31% (47 vs.18)72.31% (47 vs.18)0% (0 vs.22)0% (0 vs.6)0% (0 vs.3)0% (0 vs.2)
The use of drains (%)85.26% (677 vs. 117)99.38% (640 vs.4)21.54% (14 vs.51)21.54% (14 vs.51)95.45%% (21 vs.1)0% (0 vs.6)0% (0 vs.3)0% (0 vs.2)
Time of surgery (mean. SD. range)1:25±00:48 (00:15–5:35)1:20±00:49 (00:15–5:35)1:25±00:47 (00:30–3:20)1:58±00:30 (01:15–3:20)1:43±00:39 (00:45–3:20)1:14±00:13 (00:55–01:30)00:52±00:09 (00:40–01:00)1:00±00:20 (00:40–01:20)
BMI (mean. SD. range)25.3±4.48 (14–45.44)25.15±4.33 (14–45.44)26.56±5.4 (17.4–39.8)25.2±4.34 (17.2–38.06)27.12±5.14 (19.7–40.6)23.77±2.37 (21.4–28.3)22.05±4.51 (18.38–28.4)24.47±5.37 (19.1–29.83)
Length of stay in the hospital (mean. SD. range)2.12±0.94 (1–8)2.15±0.93 (1–7)2±1.13 (1–8)1.87±0.7 (1–3)2.41±0.83 (1–4)1.5±0.5 (1–2)2.33±0.47 (2–3)2±0 (2)

Comparison of 129 revision and 665 non-revision cases with regard to patients age, BMI, time of surgery and hospital stay

Primary (n = 665)Revision (n = 129) 95% CI
MSDMSDtpLLULd Cohena
Age38.1416.3132.2911.814.80<0.0013.458.240.37
BMI25.414.5024.754.391.520.130−0.191.500.15
Time of surgery (minutes)82.5145.1197.9559.00−2.820.005−26.26−4.610.32
Length of stay in the hospital (days)2.080.922.351.04−2.720.007−0.46−0.070.29
Language: English
Page range: 351 - 357
Submitted on: Jul 22, 2021
Accepted on: Oct 12, 2021
Published on: Aug 9, 2022
Published by: Hirszfeld Institute of Immunology and Experimental Therapy
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Karolina Stępień, Karol Kosterna, Ireneusz Babiak, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.