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Orthopaedic Proceedings
Vol. 105-B, Issue SUPP_17 | Pages 36 - 36
24 Nov 2023
Martín IO Ortiz SP Sádaba ET García AB Moreno JE Rubio AA
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Aim

To describe the risk factors, microbiology and treatment outcome polymicrobial prosthetic joint infections (PJI) compared to monomicrobial PJI.

Methods

Between January 2011 and December 2021, a total of 536 patients were diagnosed with PJI at our institution. Clinical records were revised, and 91(16.9%) had an isolation of two or more pathogens. Age, sex, previous conditions, Charlson comorbidity score, previous surgery, PJI diagnosis and surgical and antibiotic treatment, from the index surgery onwards were reviewed and compared between groups.


Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_10 | Pages 21 - 21
1 Oct 2022
Rubio AA Vizcarra LF Durán MV Johnson MB Oleaga MM González NH de Nova AA Oliete JB Robles JC Sayol RR Pastor JCM Alías A Boadas L Mahamud EM Martos MS
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Aim

To describe the impact of a failed DAIR in the further prognosis of the prosthesis after a PJI

Method

A retrospective multicentrically study was conducted, including 10 institutions from all over the country. PJI-confirmed patients who underwent DAIR clinical records were revised. Age, sex, relevant previous conditions, Charlson comorbidity score, previous surgery, PJI diagnosis and surgical and antibiotic treatment, from the index surgery onwards. DAIR failure was defined as the removal of the prosthesis and/or an antibiotic suppressive treatment.


Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_10 | Pages 36 - 36
1 Oct 2022
Minea C Rubio AA Moreno JE Correa JJA
Full Access

Aim

Prosthetic joint replacement is more commonly done in the elderly group of patients due to an increase pathology related to joint degeneration that comes with age. In this age group is also more frequent having underling condition that may predispose to a prosthetic joint infection. Also, the pharmacological intervention in those patients may play an important role as a risk factor for infection after joint replacement surgery. The use of oral anticoagulants seems to be particularly increased in elderly patients but there aren't enough data published to support an association between prosthetic joint infection and the use of oral anticoagulants.

Identifying risk factors in elderly patients age >75 years old with a special focus on the oral anticoagulation therapy is the aim of the study.

Methods

In a retrospective study from 2011 till 2018 all the patients >75 years old with knee and hip replacement surgery have been review looking for acute prosthetic infection and risk factors that may be predispose to it. Patients with previous surgery or any other mechanical complication that needed intervention on the same area have been excluded.