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Extended follow-up of patients suspected of having joint sepsis after total joint replacement

Published online by Cambridge University Press:  19 October 2009

O. M. Lidwell ,
E. J. L. Lowbury ,
W. Whyte ,
R. Blowers  and
D. Lowe
O. M. Lidwell
Affiliation:
Formerly of the Cross Infection Reference Laboratory, Colindale, London
E. J. L. Lowbury
Affiliation:
Formerly of the Medical Research Council Burns Unit, Accident Hospital, Birmingham
W. Whyte
Affiliation:
Building Services Research Unit, University of Glasgow
R. Blowers
Affiliation:
Formerly of the Medical Research Council Clinical Research Centre, Northwick Park Hospital, Harrow
D. Lowe
Affiliation:
Formerly of the Medical Research Council Biostatistics Unit, Cambridge
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Summary

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During an average follow-up time of about 2½ years after total hip or knee-joint replacement in 8052 patients, suspected joint infection was recorded in 85 patients whose joints had not been re-operated during that period. The hospital records of 72 of these patients were examined after a further period, averaging about 5 years. Thirty-five of these had suffered continuing major problems with the joint, 18 of which had been revised, and a further 9 joints needed such treatment. Infection was confirmed in 17 of the 35. These numbers are proportionately about three times greater than those observed among a set of matched controls followed-up for a similar period. The evidence from the extended follow-up suggests that the failure rate, unassociated with infection, reached about 5% by 7 years after operation and that late infections, manifested between about 2½ and 7 years after operation, were about as frequent as those confirmed during the first 2½ years.

Type
Research Article
Information
Journal of Hygiene , Volume 95 , Issue 3 , December 1985 , pp. 655 - 664
Copyright
Copyright © Cambridge University Press 1985

References

REFERENCES

Charnley, J. (1979). Low friction Arlhroplasly of the Hip. Berlin, Heidelberg, New York: Springer-Verlag.CrossRefGoogle Scholar
Harris, W. H. & White, R. E. (1982). Resection arthroplasty for nonseptic failure of total hip arthroplasty. Clinical Orthopaedics 171, 62–67.CrossRefGoogle Scholar
Lidwell, O. M., Lowbury, E. J. L., Whyte, W., Blowers, R., Stanley, S. & Lowe, D. (1982). Effect of ultraclean air in operating rooms on deep sepsis in the joint after hip or knee replacement: a randomised study. British Medical Journal 285, 10–14.CrossRefGoogle ScholarPubMed
Lidwell, O. M., Lowbury, E. J. L., Whyte, W., Blowers, R., Stanley, S. & Lowe, D. (1983 a). Bacteria isolated from deep joint sepsis after operation for total hip or knee replacement and the sources of infection with Staphylococcus aureus. Journal of Hospital Infection 4, 19–29.CrossRefGoogle ScholarPubMed
Lidwell, O. M., Lowbury, E. J. L., Whyte, W., Blowers, R., Stanley, S. & Lowe, D. (1983 b). Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates. Journal of Hospital Infection 4, 111–131.CrossRefGoogle ScholarPubMed
Lidwell, O. M., Lowbury, E. J. L., Whyte, W., Blowers, R., Stanley, S. & Lowe, D. (1984). Infection and sepsis after operations for total hip or knee-joint replacement: influence of ultraclean air, prophylactic antibiotics and other factors. Journal of Hygiene 93, 505–529.CrossRefGoogle ScholarPubMed
Mueller, M. (1981). Ten to twelve year follow-up after THR. Presented at AOA International Symposium ‘Frontiers in Total Hip Replacement’. 27–30 05, Boston, USA.Google Scholar
Salvati, E. A., Wilson, P. D., Jolley, M. N., Vatuli, F., Aglietti, P. & Brown, G. C. (1981). A ten year follow-up study of our first one hundred consecutive Charnley total hip replacements. Journal of Bone and Joint Surgery 63A, 753–759.CrossRefGoogle Scholar