Clinical Demographic Characteristics of Total Knee Arthroplasty in a University Hospital

Abstract

Objective: To assess socio-demographic characteristics of patients undergoing total knee arthroplasty (TKA) in a public university hospital, evaluating the outcome infection and associated factors. Method: A retrospective study was carried out with 78 patients undergoing TKA, from 2013 to 2014. The socio-demographic and clinical characteristics of the patients were collected. Comparison between infected and non-infected patients was performed to find out which variables were possibly associated to this complication. Result: Of 81 arthroplasties performed, patients were older (mean age 64 years), women (79%), with primary osteoarthritis as main etiology (87.6%) and most had comorbidities (82.7%). Infection occurred in 16% of patients, and this outcome associated with age older than 65 years (p=0.023) and the occurrence of deep vein thrombosis (p=0.027). Conclusion: Patients undergoing TKA are mostly elderly women with primary osteoarthritis in the knee and comorbidities who developed infection in 16% of cases. More studies need to be conducted aimed at creating specific protocols in order to improve the quality of clinical practice. Level of Evidence III, Retrospective Comparative Study.

Risk of Surgical Site Infection in Patients Undergoing Total Knee Arthroplasty

“…A small proportion of individuals diagnosed with arthroplasty infection maintained the result of negative culture and required empirical therapy, corroborating with other authors [10] [11] [12] [13] [14]. In this study the negative P. C. V. C. was also observed in patients of this present study and in these cases it is necessary to remove the implants [7]- [14].…”

“…In this study the negative P. C. V. C. was also observed in patients of this present study and in these cases it is necessary to remove the implants [7]- [14].…”

“…Late infections had frequent agent specimens such as Cultibacterium, Coagu- [14]. In the present study, positive culture of these bacteria was not associated to comorbidities [7]- [21].…”

Early outcomes of posterior cruciate retaining primary total knee arthroplasty in patients of osteoarthritis in Indian population

“…13 However the mean age of patients of our study was 60.3 years which was significantly lower than western data indicating earlier onset o5f OA in our population. The earlier onset of osteoarthritis in individuals could be attributed to obesity, premature osteoporosis with incomplete nutrition, occupation and habits of kneeling, squatting, cross-legged sitting practiced by the population in this part of the world.…”

Establishing Telemedicine in an Academic Total Joint Arthroplasty Practice: Needs and Opportunities Highlighted by the COVID-19 Pandemic

“…Orthopaedic surgeons who primarily perform total joint arthroplasty (TJA) of the hip and knee treat a predominantly outpatient population that is at high risk for complications and death from COVID-19 [16][17][18]. Most patients of adult reconstruction clinics are older than 60 years, and many have comorbidities that put them at high risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) if exposed [19].…”