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Extended follow-up of patients suspected of having joint sepsis after total joint replacement

Published online by Cambridge University Press:  19 October 2009

O. M. Lidwell ,
E. J. L. Lowbury ,
W. Whyte ,
R. Blowers  and
D. Lowe
O. M. Lidwell
Affiliation:
Formerly of the Cross Infection Reference Laboratory, Colindale, London
E. J. L. Lowbury
Affiliation:
Formerly of the Medical Research Council Burns Unit, Accident Hospital, Birmingham
W. Whyte
Affiliation:
Building Services Research Unit, University of Glasgow
R. Blowers
Affiliation:
Formerly of the Medical Research Council Clinical Research Centre, Northwick Park Hospital, Harrow
D. Lowe
Affiliation:
Formerly of the Medical Research Council Biostatistics Unit, Cambridge
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Summary

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During an average follow-up time of about 2½ years after total hip or knee-joint replacement in 8052 patients, suspected joint infection was recorded in 85 patients whose joints had not been re-operated during that period. The hospital records of 72 of these patients were examined after a further period, averaging about 5 years. Thirty-five of these had suffered continuing major problems with the joint, 18 of which had been revised, and a further 9 joints needed such treatment. Infection was confirmed in 17 of the 35. These numbers are proportionately about three times greater than those observed among a set of matched controls followed-up for a similar period. The evidence from the extended follow-up suggests that the failure rate, unassociated with infection, reached about 5% by 7 years after operation and that late infections, manifested between about 2½ and 7 years after operation, were about as frequent as those confirmed during the first 2½ years.

Type
Research Article
Information
Journal of Hygiene , Volume 95 , Issue 3 , December 1985 , pp. 655 - 664
Copyright
Copyright © Cambridge University Press 1985

References

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