Open AccessHigh Rates of Aseptic Loosening After Revision Total Knee Arthroplasty for Periprosthetic Joint Infection
Author(s) -
Arne Kienzle,
Sandy Walter,
Philipp von Roth,
Michael Fuchs,
Tobias Winkler,
Michael Müller
Publication year - 2020
Publication title -
jb and js open access
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.786
H-Index - 3
ISSN - 2472-7245
DOI - 10.2106/jbjs.oa.20.00026
Subject(s) - medicine , periprosthetic , aseptic processing , surgery , arthroplasty , prosthesis , medullary cavity
With increasing life expectancy, the demand for knee replacement is continuously rising. Despite the use of antibiotic prophylaxis and improved aseptic surgical techniques, periprosthetic joint infection (PJI) still occurs in 1% to 5% of patients after primary arthroplasty. An open question is the influence of PJI and resulting surgical procedures on the occurrence of long-term complications such as aseptic loosening. Patients needing multiple revision surgeries are especially at risk for decreases in bone mass and damage to the medullary cavity. Thus, we theorized that prior surgeries on the affected knee increase the risk of aseptic loosening in patients with PJI.