Matches in SemOpenAlex for { <https://semopenalex.org/work/W3018041435> ?p ?o ?g. }
- W3018041435 endingPage "1328" @default.
- W3018041435 startingPage "1322" @default.
- W3018041435 abstract "Abstract Periprosthetic joint infections (PJIs) following total knee arthroplasty (TKA) are serious orthopaedic complications that pose marked burdens to both patients and health care systems. At our institution, two-stage exchange with a temporary short antibiotic cement-coated intramedullary nail was utilized for the treatment of repeat PJIs in a series of compromised patients with considerable bone loss. This study reports on (1) success rates, (2) functional and pain outcomes, (3) and complications for patients receiving a temporary short intramedullary nail for the treatment of PJI. Our institutional database was queried for all repeat knee PJI patients between March 1st, 2009 and February 28th, 2015. Patients with type II/III Anderson Orthopaedic Research Institute (AORI) bone defects who underwent two-stage exchange arthroplasty with a short antibiotic-coated intramedullary nail were included for analysis (n = 31). Treatment success was determined using the Delphi-based consensus definition of a successfully treated PJI: infection eradication (healed wound with no recurrence of infection by the same organism), no further surgical intervention for infection after reimplantation, and no PJI-related mortality. A paired t-test was performed to assess for continuous variables. A total of 26 patients went on to reimplantation, while 5 patients retained the intramedullary nail. Overall treatment success was 74.2%. Range of motion significantly decreased postoperatively (102.1 vs. 87.3 degrees; p < 0.001), while Knee Society Scores (function) significantly increased (55.6 vs. 77.7, p < 0.001). A majority of patients were full weight-bearing immediately following surgery (38.7%). Treating poor health status patients with PJI of the knee can be difficult after multiple revisions. With a success rate similar to conventional methods, our results demonstrate that two-stage exchange with a temporary short intramedullary nail may be a desirable treatment option for patients with bony defects wishing to avoid amputation or permanent arthrodesis. However, this method does not outperform other treatment modalities, and may not be suitable for all patients. Patient expectations and health status should be carefully assessed to determine if this procedure is appropriate in this complex patient population." @default.
- W3018041435 created "2020-05-01" @default.
- W3018041435 creator A5016311309 @default.
- W3018041435 creator A5029178619 @default.
- W3018041435 creator A5035984378 @default.
- W3018041435 creator A5043280440 @default.
- W3018041435 creator A5055475623 @default.
- W3018041435 creator A5065226943 @default.
- W3018041435 creator A5073635522 @default.
- W3018041435 creator A5076433001 @default.
- W3018041435 creator A5084880173 @default.
- W3018041435 date "2020-04-24" @default.
- W3018041435 modified "2023-09-23" @default.
- W3018041435 title "Two-Stage Exchange Using a Short Intramedullary Nail for Treatment of Periprosthetic Knee Infections: A Technique Worth Questioning" @default.
- W3018041435 cites W1822324148 @default.
- W3018041435 cites W1966101305 @default.
- W3018041435 cites W1979776103 @default.
- W3018041435 cites W1981392377 @default.
- W3018041435 cites W1988053312 @default.
- W3018041435 cites W1992832420 @default.
- W3018041435 cites W1997998296 @default.
- W3018041435 cites W1998378717 @default.
- W3018041435 cites W2005075641 @default.
- W3018041435 cites W2009648326 @default.
- W3018041435 cites W2027825552 @default.
- W3018041435 cites W2044174294 @default.
- W3018041435 cites W2045132571 @default.
- W3018041435 cites W2061266234 @default.
- W3018041435 cites W2076835392 @default.
- W3018041435 cites W2078957765 @default.
- W3018041435 cites W2084407108 @default.
- W3018041435 cites W2094044903 @default.
- W3018041435 cites W2133345463 @default.
- W3018041435 cites W2155197498 @default.
- W3018041435 cites W2155484586 @default.
- W3018041435 cites W2182376589 @default.
- W3018041435 cites W2506841096 @default.
- W3018041435 cites W2568058683 @default.
- W3018041435 cites W2626892759 @default.
- W3018041435 cites W2898006590 @default.
- W3018041435 cites W2933576828 @default.
- W3018041435 cites W2945799071 @default.
- W3018041435 cites W29515859 @default.
- W3018041435 doi "https://doi.org/10.1055/s-0040-1708856" @default.
- W3018041435 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32330974" @default.
- W3018041435 hasPublicationYear "2020" @default.
- W3018041435 type Work @default.
- W3018041435 sameAs 3018041435 @default.
- W3018041435 citedByCount "1" @default.
- W3018041435 countsByYear W30180414352021 @default.
- W3018041435 crossrefType "journal-article" @default.
- W3018041435 hasAuthorship W3018041435A5016311309 @default.
- W3018041435 hasAuthorship W3018041435A5029178619 @default.
- W3018041435 hasAuthorship W3018041435A5035984378 @default.
- W3018041435 hasAuthorship W3018041435A5043280440 @default.
- W3018041435 hasAuthorship W3018041435A5055475623 @default.
- W3018041435 hasAuthorship W3018041435A5065226943 @default.
- W3018041435 hasAuthorship W3018041435A5073635522 @default.
- W3018041435 hasAuthorship W3018041435A5076433001 @default.
- W3018041435 hasAuthorship W3018041435A5084880173 @default.
- W3018041435 hasConcept C141071460 @default.
- W3018041435 hasConcept C146357865 @default.
- W3018041435 hasConcept C151730666 @default.
- W3018041435 hasConcept C2778120723 @default.
- W3018041435 hasConcept C2778336525 @default.
- W3018041435 hasConcept C2908736133 @default.
- W3018041435 hasConcept C3017871827 @default.
- W3018041435 hasConcept C68312169 @default.
- W3018041435 hasConcept C71924100 @default.
- W3018041435 hasConcept C86803240 @default.
- W3018041435 hasConcept C92162645 @default.
- W3018041435 hasConceptScore W3018041435C141071460 @default.
- W3018041435 hasConceptScore W3018041435C146357865 @default.
- W3018041435 hasConceptScore W3018041435C151730666 @default.
- W3018041435 hasConceptScore W3018041435C2778120723 @default.
- W3018041435 hasConceptScore W3018041435C2778336525 @default.
- W3018041435 hasConceptScore W3018041435C2908736133 @default.
- W3018041435 hasConceptScore W3018041435C3017871827 @default.
- W3018041435 hasConceptScore W3018041435C68312169 @default.
- W3018041435 hasConceptScore W3018041435C71924100 @default.
- W3018041435 hasConceptScore W3018041435C86803240 @default.
- W3018041435 hasConceptScore W3018041435C92162645 @default.
- W3018041435 hasIssue "12" @default.
- W3018041435 hasLocation W30180414351 @default.
- W3018041435 hasOpenAccess W3018041435 @default.
- W3018041435 hasPrimaryLocation W30180414351 @default.
- W3018041435 hasRelatedWork W1994935061 @default.
- W3018041435 hasRelatedWork W2066621319 @default.
- W3018041435 hasRelatedWork W2214588852 @default.
- W3018041435 hasRelatedWork W2365999549 @default.
- W3018041435 hasRelatedWork W2910255234 @default.
- W3018041435 hasRelatedWork W2981711952 @default.
- W3018041435 hasRelatedWork W3008389742 @default.
- W3018041435 hasRelatedWork W3124107206 @default.
- W3018041435 hasRelatedWork W3169460791 @default.
- W3018041435 hasRelatedWork W3217182201 @default.
- W3018041435 hasVolume "34" @default.
- W3018041435 isParatext "false" @default.