ASSESSMENT OF THE RESULTS OF REVISION HIP AND KNEE REPLACEMENT SURGERY IN CASE OF PERIPROSTHETIC INFECTION
Background. Periprosthetic infection is a serious complication of large joint replacement surgery. To date, there is no consensus on the choice of surgical tactics for treating this category of patients. The aim of the work. To determine the effectiveness of one-stage and two-stage revision hip and...
Saved in:
| Published in: | Bajkalʹskij medicinskij žurnal Vol. 3; no. 1; pp. 20 - 27 |
|---|---|
| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Ministry of Health of the Russian Federation, Irkutsk State Medical University
10.03.2024
|
| Subjects: | |
| ISSN: | 2949-0715, 2949-0715 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Background. Periprosthetic infection is a serious complication of large joint replacement surgery. To date, there is no consensus on the choice of surgical tactics for treating this category of patients. The aim of the work. To determine the effectiveness of one-stage and two-stage revision hip and knee replacement surgery in reducing periprosthetic infection. Materials and methods. We analyzed the results of revision replacement surgery in 78 patients with deep periprosthetic infection of the hip and knee joints. In 38 patients, one-stage revision replacement surgery was used, in 40 patients – two-stage. Treatment results were assessed 1 year after the surgery. Out of 78 patients, in 45 (57.7 %) choosing the type of revision replacement surgery was made according to the algorithm developed at the Irkutsk Scientific Centre of Surgery and Traumatology. Results. Using revision replacement surgery made it possible to stop the infectious process in 64.1 % of patients. The best results were obtained after two-stage revision surgery, in which relief of the infectious process was achieved in 72.5 % of cases. The choice of treatment tactics for patients according to the algorithm improved the results of two-stage revision joint replacement surgery up to 87.5 %. Using the criteria proposed in the algorithm when assessing the positive and negative results of revision surgery made it possible to confirm the effectiveness of the algorithm in 80% of patients and to identify the probable reasons for the maintenance of periprosthetic infection: incorrect choice of the type of surgery, the presence of extensive bone defects, the presence of polyallergy. Conclusion. Analysis of the results of revision arthroplasty for periprosthetic infection made it possible to confirm the effectiveness of the proposed algorithm for choosing the type of surgery, to establish the highest effectiveness of two-stage revision surgery compared to one-stage surgery, and also to determine the probable causes of negative treatment results. |
|---|---|
| AbstractList | Background. Periprosthetic infection is a serious complication of large joint replacement surgery. To date, there is no consensus on the choice of surgical tactics for treating this category of patients. The aim of the work. To determine the effectiveness of one-stage and two-stage revision hip and knee replacement surgery in reducing periprosthetic infection. Materials and methods. We analyzed the results of revision replacement surgery in 78 patients with deep periprosthetic infection of the hip and knee joints. In 38 patients, one-stage revision replacement surgery was used, in 40 patients – two-stage. Treatment results were assessed 1 year after the surgery. Out of 78 patients, in 45 (57.7 %) choosing the type of revision replacement surgery was made according to the algorithm developed at the Irkutsk Scientific Centre of Surgery and Traumatology. Results. Using revision replacement surgery made it possible to stop the infectious process in 64.1 % of patients. The best results were obtained after two-stage revision surgery, in which relief of the infectious process was achieved in 72.5 % of cases. The choice of treatment tactics for patients according to the algorithm improved the results of two-stage revision joint replacement surgery up to 87.5 %. Using the criteria proposed in the algorithm when assessing the positive and negative results of revision surgery made it possible to confirm the effectiveness of the algorithm in 80% of patients and to identify the probable reasons for the maintenance of periprosthetic infection: incorrect choice of the type of surgery, the presence of extensive bone defects, the presence of polyallergy. Conclusion. Analysis of the results of revision arthroplasty for periprosthetic infection made it possible to confirm the effectiveness of the proposed algorithm for choosing the type of surgery, to establish the highest effectiveness of two-stage revision surgery compared to one-stage surgery, and also to determine the probable causes of negative treatment results. Background. Periprosthetic infection is a serious complication of large joint replacement surgery. To date, there is no consensus on the choice of surgical tactics for treating this category of patients.The aim of the work. To determine the effectiveness of one-stage and two-stage revision hip and knee replacement surgery in reducing periprosthetic infection.Materials and methods. We analyzed the results of revision replacement surgery in 78 patients with deep periprosthetic infection of the hip and knee joints. In 38 patients, one-stage revision replacement surgery was used, in 40 patients – two-stage. Treatment results were assessed 1 year after the surgery. Out of 78 patients, in 45 (57.7 %) choosing the type of revision replacement surgery was made according to the algorithm developed at the Irkutsk Scientific Centre of Surgery and Traumatology.Results. Using revision replacement surgery made it possible to stop the infectious process in 64.1 % of patients. The best results were obtained after two-stage revision surgery, in which relief of the infectious process was achieved in 72.5 % of cases. The choice of treatment tactics for patients according to the algorithm improved the results of two-stage revision joint replacement surgery up to 87.5 %.Using the criteria proposed in the algorithm when assessing the positive and negative results of revision surgery made it possible to confirm the effectiveness of the algorithm in 80% of patients and to identify the probable reasons for the maintenance of periprosthetic infection: incorrect choice of the type of surgery, the presence of extensive bone defects, the presence of polyallergy.Conclusion. Analysis of the results of revision arthroplasty for periprosthetic infection made it possible to confirm the effectiveness of the proposed algorithm for choosing the type of surgery, to establish the highest effectiveness of two-stage revision surgery compared to one-stage surgery, and also to determine the probable causes of negative treatment results. |
| Author | Grishchuk, Alexey N. Leonova, Svetlana N. Kameka, Alexey L. |
| Author_xml | – sequence: 1 givenname: Alexey L. orcidid: 0000-0002-6107-8851 surname: Kameka fullname: Kameka, Alexey L. – sequence: 2 givenname: Alexey N. orcidid: 0000-0002-9119-7480 surname: Grishchuk fullname: Grishchuk, Alexey N. – sequence: 3 givenname: Svetlana N. orcidid: 0000-0003-3675-6355 surname: Leonova fullname: Leonova, Svetlana N. |
| BookMark | eNpNkd9OgzAUxhszE-fcM8gLoO2hpfSSYLcREQhlJl41HbRmyxwGvPHthWkWr77z7_tdnO8WzU7dySJ0T_AD48DCRxBU-JgT5gMG6pNRfOBXaH5ZzP7VN2g5DAeMMQggHLM5OsRKSaVeZF57xcqrN9KrpNpmtZraSr6mKi1yb5OWXpw_ec-5nA7KLE7k2aO21VpWb16ae0ms5GQqZZWWVaFGVp0m42Ylk3qE3KFrZ46DXf7pAm1Xsk42flas0yTO_IaEAfcBXEipsCJw1gZNSwEiFgKOBObOCeOsIxZbAEwM2znamNBxtiMBccbYgAYLlP5y284c9Ge__zD9t-7MXp8HXf-uTf-1b45WGywENjxoG-IoRKGgYKKWOxs1DIg1I4v_spq-G4beuguPYH1OQE_P1dNz9ZSAJqNo4MEP1nVxlQ |
| ContentType | Journal Article |
| CorporateAuthor | Irkutsk Scientific Centre of Surgery and Traumatology |
| CorporateAuthor_xml | – name: Irkutsk Scientific Centre of Surgery and Traumatology |
| DBID | AAYXX CITATION DOA |
| DOI | 10.57256/2949-0715-2024-1-20-27 |
| DatabaseName | CrossRef DOAJ Open Access Full Text |
| DatabaseTitle | CrossRef |
| DatabaseTitleList | CrossRef |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 2949-0715 |
| EndPage | 27 |
| ExternalDocumentID | oai_doaj_org_article_a0990a73dc1f4286942a8d7fe8c521ea 10_57256_2949_0715_2024_1_20_27 |
| GroupedDBID | AAYXX ALMA_UNASSIGNED_HOLDINGS CITATION GROUPED_DOAJ M~E |
| ID | FETCH-LOGICAL-c1637-22f6449e93fee3cd422856208907ff9afef1e0e2201a5bf4ca6f75b131faae343 |
| IEDL.DBID | DOA |
| ISSN | 2949-0715 |
| IngestDate | Tue Oct 14 19:07:25 EDT 2025 Sat Nov 29 04:34:27 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | false |
| Issue | 1 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c1637-22f6449e93fee3cd422856208907ff9afef1e0e2201a5bf4ca6f75b131faae343 |
| ORCID | 0000-0002-6107-8851 0000-0003-3675-6355 0000-0002-9119-7480 |
| OpenAccessLink | https://doaj.org/article/a0990a73dc1f4286942a8d7fe8c521ea |
| PageCount | 8 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_a0990a73dc1f4286942a8d7fe8c521ea crossref_primary_10_57256_2949_0715_2024_1_20_27 |
| PublicationCentury | 2000 |
| PublicationDate | 2024-03-10 |
| PublicationDateYYYYMMDD | 2024-03-10 |
| PublicationDate_xml | – month: 03 year: 2024 text: 2024-03-10 day: 10 |
| PublicationDecade | 2020 |
| PublicationTitle | Bajkalʹskij medicinskij žurnal |
| PublicationYear | 2024 |
| Publisher | Ministry of Health of the Russian Federation, Irkutsk State Medical University |
| Publisher_xml | – name: Ministry of Health of the Russian Federation, Irkutsk State Medical University |
| SSID | ssj0002921705 |
| Score | 1.8630538 |
| Snippet | Background. Periprosthetic infection is a serious complication of large joint replacement surgery. To date, there is no consensus on the choice of surgical... |
| SourceID | doaj crossref |
| SourceType | Open Website Index Database |
| StartPage | 20 |
| SubjectTerms | перипротезная инфекция ревизионное эндопротезирование суставов тазобедренный сустав |
| Title | ASSESSMENT OF THE RESULTS OF REVISION HIP AND KNEE REPLACEMENT SURGERY IN CASE OF PERIPROSTHETIC INFECTION |
| URI | https://doaj.org/article/a0990a73dc1f4286942a8d7fe8c521ea |
| Volume | 3 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 2949-0715 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0002921705 issn: 2949-0715 databaseCode: DOA dateStart: 20220101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3LTsMwELRQhRAXxFOUl3LgGtHYTpwcQ0lpRUmjppXgZLmOLXEpb74n35IvY9cpqDcunCI5iRWNHe-MvJ4l5FJBUI25Mj7XTPicWfilVLTwhQ4Zp0GkYmtdsQmR5_HDQ1KslfrCnLDWHrgF7krhzo0SrNKBBaocJZyquBLWxBoij3HUCFjPmpjCNZgmFH1i2oSuUEBcv6IJd8d1QpgYlINyAt2EtWTWwtGaa78LL4NdsrPihV7afs8e2TDLfbJ1v9r5PiCvaYkrH1rvN_Vk0NSzYdbUAN98PCs9bMA8B1wZveGo8NL8pqnv8izzplkxTvvOs98r59PbbProjfKm7qdl5t4rQMoV00kJHc5Gfbg3yFxiySGZD7JZf-ivyiX4GkiV8Cm1QG4SkzBrDNMVmnsBu-nFoH-tTZQ1NjA9QyHkq3BhuVaRFeEiYIFVyjDOjkhn-bw0x8TjXHBLuRYB6sdFlMSsoj0hhK6splR1Se8HNfnSumJIUBMOaIlASwRaItAygIukokuuEd3fx9HW2jXAYMvVYMu_BvvkPzo5JdtuBrikvDPS-Xj7NOdkU399PL2_Xbh59A345sZS |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=ASSESSMENT+OF+THE+RESULTS+OF+REVISION+HIP+AND+KNEE+REPLACEMENT+SURGERY+IN+CASE+OF+PERIPROSTHETIC+INFECTION&rft.jtitle=Bajkal%CA%B9skij+medicinskij+%C5%BEurnal&rft.au=Kameka%2C+Alexey+L.&rft.au=Grishchuk%2C+Alexey+N.&rft.au=Leonova%2C+Svetlana+N.&rft.date=2024-03-10&rft.issn=2949-0715&rft.eissn=2949-0715&rft.volume=3&rft.issue=1&rft.spage=20&rft.epage=27&rft_id=info:doi/10.57256%2F2949-0715-2024-1-20-27&rft.externalDBID=n%2Fa&rft.externalDocID=10_57256_2949_0715_2024_1_20_27 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2949-0715&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2949-0715&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2949-0715&client=summon |