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- 01JAFYKV1DB9CSQ1EBN9AJGYHA classification A1.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA date "2024".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA language "eng".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA type journalArticle.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA hasPart 01JB9N9R3EYXZS8PH9Z7DYK3AC.pdf.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA subject "Medicine and Health Sciences".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA doi "10.1097/CORR.0000000000002873".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA issn "0009-921X".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA issn "1528-1132".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA issue "5".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA volume "482".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA abstract "BackgroundPositive intraoperative cultures (PICs) are encountered in some patients undergoing revision of the acetabular cup after a previous THA. It is unknown whether PIC of the cup indicates whether the stem is infected as well and what happens to the stem during follow-up.Questions/purposes(1) What proportion of patients undergoing THA who undergo cup revision have PICs? (2) What is the survival of the stem during follow-up in cup revisions with PICs versus that of those with negative cultures? (3) Does antibiotic treatment of PIC of the cup prevent revision THA during follow-up?MethodsIn this retrospective, comparative multicenter study, five surgeons at four centers performed 338 acetabular cup revisions between January 2015 and December 2017. After evaluating the data, we excluded one patient because of an incomplete dataset and 77 patients because fewer than three intraoperative cultures were obtained during surgery, leaving 260 patients for analysis. Follow-up was 2 years. Patients were stratified into three cohorts: no PIC, one PIC, and two or more PICs.ResultsThe proportion of patients with one or more PIC was 15% (39 of 260). A total of 8% (21 of 260) had one and 7% (18 of 260) had two or more PICs. Stem survival was lower in patients with two or more PICs, but stem revision for periprosthetic joint infection was similar between groups. Two-year survival, which was defined as freedom from revision for any cause or infection, was 97% (95% confidence interval 95% to 99%) in the group without PICs, 100% (95% CI 95% to 100%) in the group with one PIC, and 86% (95% CI 68% to 100%; p = 0.08) in the group with two or more PICs. None of the patients in the no PIC and one PIC groups were treated with antibiotics. In the two or more PICs cohort, 12 of 18 patients were treated. The stem survived in one of 12 patients treated with antibiotics versus two of six patients who were not treated with antibiotics.ConclusionWhen treated with antibiotics, more than two PICs isolated during cup revision surgery do not have a major impact on survival of the stem during follow-up. A larger cohort of patients with PICs during cup revision might confirm these findings.Level of EvidenceLevel III, therapeutic study.".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author 1f1fde22-484a-11ee-9e6b-c5969e76c180.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:0b433a4a-24ab-4b14-b97c-68b16cdeadbb.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:25ce6066-003a-4bc5-a381-327cbe1a110e.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:295b0ffa-aeae-4b3c-b47e-2da79ca4387c.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:81dad4b5-b2a1-4548-b599-af2a1f3c8d5e.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:952f24fb-a683-436e-858c-58f046a4646e.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:a9b17944-cc6f-4ecb-a359-94a9379b4e23.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:b0900e5f-2980-4510-92fa-c43329ea7df4.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA author urn:uuid:f6225df6-be9b-4822-b1c5-46ca505897a2.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA dateCreated "2024-10-18T13:56:00Z".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA dateModified "2024-12-12T21:07:30Z".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA name "Positive intraoperative cultures in cup revisions of THA : what happens to the stem?".
- 01JAFYKV1DB9CSQ1EBN9AJGYHA pagination urn:uuid:8b17807e-786d-4708-9f6b-60d4bdfdbe93.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA sameAs LU-01JAFYKV1DB9CSQ1EBN9AJGYHA.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA sourceOrganization urn:uuid:3a38cd46-9880-4de3-a4ca-8e9fd9c76e39.
- 01JAFYKV1DB9CSQ1EBN9AJGYHA type A1.