Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part I

Abstract. Introduction The number of total joint arthroplasties performed globally has increased over time, and the projected growth for total knee arthroplasty (TKA) and total hip arthroplasty (THA) in 2030-2050 is associated with an increase in the number of surgical complications, such as perip...

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Main Authors: Svetlana V. Braginа, Valeriy P. Moskalev, Alexander L. Petrushin, Pavel A. Berezin
Format: Article
Language:English
Published: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2021-10-01
Series:Гений oртопедии
Subjects:
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author Svetlana V. Braginа
Valeriy P. Moskalev
Alexander L. Petrushin
Pavel A. Berezin
author_facet Svetlana V. Braginа
Valeriy P. Moskalev
Alexander L. Petrushin
Pavel A. Berezin
author_sort Svetlana V. Braginа
collection DOAJ
description Abstract. Introduction The number of total joint arthroplasties performed globally has increased over time, and the projected growth for total knee arthroplasty (TKA) and total hip arthroplasty (THA) in 2030-2050 is associated with an increase in the number of surgical complications, such as periprosthetic joint infection (PJI). Perioperative modifiable risk factors can be altered to help improve rates of the devastating scenario. The purpose of the review was to systematize information on modifiable risk factors for PJI after THA and TKA and the ways to improve them. Material and methods Scientific literature search was performed via web-based services of PubMed, eLibrary, Scopus, Dimensions. The search depth was 30 years. Results Modifiable risk factors were shown to be associated with the patient's condition, medical history, current status, intraoperative and postoperative surgical options. Well-established modifiable risk factors include tobacco use, alcohol consumption, excess body weight, obesity, malnutrition, duration of surgery, postoperative wound hematoma. Discussion Timely diagnosed modifiable risk factors for PJI can be improved at the preparation stage, perioperatively and postoperatively. The interaction of inpatient and outpatient hospital services in the perioperative period is essential for reducing the risk of PJI after THA and TKA.
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spelling doaj.art-ff31394f90474750bccfdae022bdb2082022-12-21T20:38:04ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2021-10-0127563664410.18019/1028-4427-2021-27-5-636-644Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part ISvetlana V. Braginа0Valeriy P. Moskalev1Alexander L. Petrushin2Pavel A. Berezin3Northern State Medical University, Arkhangelsk, Russian FederationPavlov First St. Petersburg State Medical University, Saint Petersburg, Russian FederationKarpogorsk central district hospital, Arkhangelsk region, Karpogory, Russian FederationNorthern State Medical University, Arkhangelsk, Russian FederationAbstract. Introduction The number of total joint arthroplasties performed globally has increased over time, and the projected growth for total knee arthroplasty (TKA) and total hip arthroplasty (THA) in 2030-2050 is associated with an increase in the number of surgical complications, such as periprosthetic joint infection (PJI). Perioperative modifiable risk factors can be altered to help improve rates of the devastating scenario. The purpose of the review was to systematize information on modifiable risk factors for PJI after THA and TKA and the ways to improve them. Material and methods Scientific literature search was performed via web-based services of PubMed, eLibrary, Scopus, Dimensions. The search depth was 30 years. Results Modifiable risk factors were shown to be associated with the patient's condition, medical history, current status, intraoperative and postoperative surgical options. Well-established modifiable risk factors include tobacco use, alcohol consumption, excess body weight, obesity, malnutrition, duration of surgery, postoperative wound hematoma. Discussion Timely diagnosed modifiable risk factors for PJI can be improved at the preparation stage, perioperatively and postoperatively. The interaction of inpatient and outpatient hospital services in the perioperative period is essential for reducing the risk of PJI after THA and TKA.arthroplastysurgical site infectionperiprosthetic infectionprognosismodifiable risk factors
spellingShingle Svetlana V. Braginа
Valeriy P. Moskalev
Alexander L. Petrushin
Pavel A. Berezin
Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part I
Гений oртопедии
arthroplasty
surgical site infection
periprosthetic infection
prognosis
modifiable risk factors
title Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part I
title_full Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part I
title_fullStr Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part I
title_full_unstemmed Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part I
title_short Perioperative prognosis of infectious complications after total hip and knee arthroplasties. Part I
title_sort perioperative prognosis of infectious complications after total hip and knee arthroplasties part i
topic arthroplasty
surgical site infection
periprosthetic infection
prognosis
modifiable risk factors
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AT alexanderlpetrushin perioperativeprognosisofinfectiouscomplicationsaftertotalhipandkneearthroplastiesparti
AT pavelaberezin perioperativeprognosisofinfectiouscomplicationsaftertotalhipandkneearthroplastiesparti