Journal ArticleDOI
The Risk of a Deep Infection Associated With Intraarticular Injections Before a Total Knee Arthroplasty
TLDR
There does not appear to be a correlation with the timing of the injection before surgery and increased risk of infection.Abstract:
The aim of the study is to identify the risks associated with an intraarticular injection before a total knee arthroplasty (TKA). A total of 1628 patients were retrospectively studied over a 7-year period. The patients were divided into 2 groups: patient who received an intraarticular injection before a TKA and patients who did not receive an injection before a TKA. There were 16 deep infections identified (0.98%). Ten deep infections were identified in the patients who did not receive an injection before a TKA (1.18%), and 6 deep infections were identified in patients who received an injection before a TKA (0.77%). There does not appear to be a correlation with the timing of the injection before surgery and increased risk of infection.read more
Citations
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Journal ArticleDOI
Risk factors for periprosthetic joint infection following primary total hip or knee arthroplasty: a meta‐analysis
TL;DR: There was positive evidence for some factors that could be used to prevent the onset of infection after TJA, and ASA score > 2 was a high risk factor, and drain usage was a protective factor.
Journal ArticleDOI
Comparison of Infection Risk with Corticosteroid or Hyaluronic Acid Injection Prior to Total Knee Arthroplasty.
TL;DR: Preoperative corticosteroid or hyaluronic acid injection ⩽3 months before total knee arthroplasty increased the risk of periprosthetic joint infection and there was no difference in infection risk between medications or between multiple and single injections.
Journal ArticleDOI
Factors That Affect Outcome Following Total Joint Arthroplasty: a Review of the Recent Literature.
TL;DR: SummaryRecent investigations have clearly established a link between patient-specific factors and poor outcomes after hip and knee arthroplasty, but future research is needed to determine best practices for stratifying and mitigating these risks for patients.
Journal ArticleDOI
Diagnosis and Prevention of Periprosthetic Joint Infections.
TL;DR: This guideline seeks to evaluate strategies to mitigate the risk of periprosthetic joint infection in hip and knee arthroplasty and identify best practices in the diagnostic evaluation for these infections.
Journal ArticleDOI
The effect of preoperative lumbar epidural corticosteroid injection on postoperative infection rate in patients undergoing single-level lumbar decompression.
Jonathan G. Seavey,Jonathan G. Seavey,George C. Balazs,George C. Balazs,Theodore Steelman,Theodore Steelman,Melvin D. Helgeson,Melvin D. Helgeson,David E. Gwinn,David E. Gwinn,Scott C. Wagner,Scott C. Wagner,Scott C. Wagner +12 more
TL;DR: The results of this study suggest that within the MHS, preoperative LECIs do not significantly increase the risk of postoperative infection after single-level lumbar decompression.
References
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Journal ArticleDOI
Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care
TL;DR: Knee osteoarthritis sufficiently severe to consider joint replacement represents a minority of all knee pain and disability suffered by older people and healthcare provision in primary care needs to focus on this broader group to impact on community levels of pain and Disability.
Journal ArticleDOI
Periprosthetic joint infection: the incidence, timing, and predisposing factors.
TL;DR: The following independent predictors for periprosthetic joint infection were identified: higher American Society of Anesthesiologists score, morbid obesity, bilateral arthroplasty, knee arthro plasty, allogenic transfusion, postoperative atrial fibrillation, myocardial infarction, urinary tract infection, and longer hospitalization.
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TL;DR: Study of the patterns osteoarthritis incidence and prevalence shows that it occurs frequently in the hand, foot, knee, spine and hip, but rarely in the ankle, wrist, elbow, and shoulder, and the most important universal risk factors are age, excessive joint loading, and joint injury.
Journal ArticleDOI
Corticosteroid injections for osteoarthritis of the knee: meta-analysis
TL;DR: Evidence supports short term (up to two weeks) improvement in symptoms of osteoarthritis of the knee after intra-articular corticosteroid injection.
Journal ArticleDOI
Intra-articular therapy in osteoarthritis
TL;DR: Despite the lack of strong, convincing, and reproducible evidence that any of the intra-articular therapies significantly alters the progression of osteoarthritis, corticosteroids and hyaluronic acid are widely used in patients who have failed other therapeutic modalities for lack of efficacy or toxicity.