scholarly journals Marjolin's Tumor Complicating Chronic Periprosthetic Infection of a Total Knee Arthroplasty

2019 ◽  
Vol 4 (3) ◽  
pp. 115-119
Author(s):  
Timothy Horan ◽  
Matthew T. Wallace ◽  
Albert J. Aboulafia ◽  
Janet D. Conway
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Periprosthetic Infection ◽  
Latency Period ◽  
Lower Grade ◽  
Orthopaedic Implant ◽  
Basal Cell Carcinomas ◽  
Total Knee ◽  
Inflammatory Changes ◽  
Location Association

Abstract. Marjolin's tumor is a term used to describe a malignancy developing in the setting of a chronic wound, infection, or other tissue subject to chronic inflammatory changes. These malignancies usually present after many years of chronicity, and can range from lower grade basal cell carcinomas to high-grade sarcomas. We present the case of a squamous cell carcinoma that developed within a chronic periprosthetic infection of a total knee arthroplasty of 7 years duration. The intra-articular location, association with an orthopaedic implant, and brief latency period are all unique features of this case.

Poor Outcome of Above-Knee Amputation after Septic Failure of Revision Total Knee Arthroplasty

2020 ◽  
Author(s):  
Sabrina Böhle ◽  
Sebastian Rohe ◽  
Julia Kirschberg ◽  
Olaf Brinkmann ◽  
Jörn Seeger ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Joint ◽  
Knee Arthroplasty ◽  
Periprosthetic Infection ◽  
Short Form ◽  
Joint Infection ◽  
Treatment Strategies ◽  
Primary Total Knee Arthroplasty ◽  
Knee Amputation ◽  
Total Knee

AbstractPersistent periprosthetic infection following total knee arthroplasty is one of the most dreaded complications of orthopaedic surgery. Treatment strategies include arthrodesis of the knee joint, stable fistula, long-lasting antibiotic therapy, or above-knee amputation. The advantage of amputation in comparison to other treatment options is the possible cure of infection, because the source of infection is removed and no foreign material left in situ. The aim of the study is to examine whether a septic amputation of the femur in case of persistent periprosthetic infection at the knee joint leads to the healing of the patient. Moreover, the physical and mental state should be evaluated. All patients with above-knee amputation because of periprosthetic joint infection after primary total knee arthroplasty between 2016 and 2018 were included in this retrospective study. A questionnaire with the clinical scores visual analog scale, modified Lysholm, Western Ontario and McMaster Universities Osteoarthritis Index and 36-Item Short Form Survey has been designed. In addition, all characteristics and perioperative data were documented. Eleven patients were included in the study. One patient died after above-knee amputation; all other patients live with a marked impairment of quality of life but with absence of the infection of the leg. Two out of ten are able to walk regularly with an exoprosthesis with forearm crutches, 50% are in a wheelchair, while 30% are bedridden. Patients with above-knee amputation after persistent periprosthetic infections were free of infection and without signs of inflammation. However, this is associated with worse mobility and high mortality rate.

scholarly journals Explanatory Factors for Periprosthetic Infection in Total Knee Arthroplasty

2021 ◽  
Vol 10 (11) ◽  
pp. 2315
Author(s):  
Alberto Delgado-González ◽  
Juan José Morales-Viaji ◽  
Guillermo Criado-Albillos ◽  
Adoración del Pilar Martín-Rodríguez ◽  
Josefa González-Santos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Randomized Clinical Trials ◽  
Periprosthetic Infection ◽  
Explanatory Factors ◽  
Appropriate Treatment ◽  
Hospital Stays ◽  
Total Knee ◽  
Prolonged Hospital

There are many studies whose results reveal possible risk factors for developing an infection after a total knee arthroplasty (TKA). The objective of this study is to analyse the risk factors that depend on the hospital and, especially, if the patellar replacement influences the appearance of periprosthetic infection. A retrospective study was performed, where data from the electronic registry of patients of people over 18 and who had undergone TKA, between the years 2015 and 2018, were reviewed. Dependent variables on the patients and the health care system were collected. The possible associations between the factors and the appearance of infection after TKA were studied using univariate and multivariate regression analyses. A total of 907 primary knee arthroplasties were included in the study. Those patients who had their patella replaced had a significantly higher risk of developing an infection (OR 2.07; 95% confidence interval 1.01–6.31). Likewise, patients who underwent surgery by surgeons with more than 10 years of experience were more than twice as likely to become infected than those operated on by younger surgeons (OR 2.64; 95%CI 1.01–6.97). Male patients were also found to be three times more likely to be infected than women (OR 2.99; 95%CI 1.32–5.74). Those interventions that were longer had a higher risk of infection. The same happened with patients who stayed in the hospital for a longer period of time. The rest of the variables did not show statistically significant results. In this study, it was found that the replacement of the patella may be a factor of infection, but it should be corroborated with randomized clinical trials. Furthermore, patients who underwent longer surgeries or those with prolonged hospital stays should be closely monitored to detect infection as soon as possible and establish the most appropriate treatment.

Difficult primary total knee arthroplasty requiring a varus–valgus constrained implant is at higher risk of periprosthetic infection

2020 ◽  
Vol 28 (12) ◽  
pp. 3787-3795 ◽  
Author(s):  
Giuseppe Gianluca Costa ◽  
Mirco Lo Presti ◽  
Giuseppe Agrò ◽  
Cosimo Vasco ◽  
Sergio Cialdella ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Periprosthetic Infection ◽  
Primary Total Knee Arthroplasty ◽  
Total Knee ◽  
Primary Total Knee

scholarly journals Periprosthetic Infection Following Total Knee Arthroplasty

10.5772/53250 ◽  
2013 ◽  
Author(s):  
Michael Soudry ◽  
Arnan Greental ◽  
Gabriel Nierenberg ◽  
Mazen Falah ◽  
Nahum Rosenberg
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Periprosthetic Infection ◽  
Total Knee
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