Arthroscopic Treatment Yields Lower Reoperation Rates than Open Treatment for Native Knee but Not Native Shoulder Septic Arthritis.
Journal
Arthroscopy, sports medicine, and rehabilitation
ISSN: 2666-061X
Titre abrégé: Arthrosc Sports Med Rehabil
Pays: United States
ID NLM: 101765256
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
04
02
2022
accepted:
16
04
2022
entrez:
24
6
2022
pubmed:
25
6
2022
medline:
25
6
2022
Statut:
epublish
Résumé
To compare the incidence, patient demographics, complication rates, readmission rates, and reoperation rates of open and arthroscopic surgery performed for septic arthritis in native knee and shoulder joints. Records of patients who were diagnosed with native knee or shoulder septic arthritis and underwent open or arthroscopic irrigation and debridement (I&D) between 2015 and 2018 were queried from the PearlDiver Mariner Database. International Classification of Diseases 10th (ICD-10) diagnosis and procedure codes were used to identify patients and track reoperations. Reoperation procedures, including revision open and arthroscopic I&D, were analyzed at 1 month, 1 year, and 2 years. Complications, emergency department (ED) admissions, and hospital readmissions within 30 days were analyzed and compared between the open and arthroscopic cohorts. The query resulted with 1,993 patients who underwent knee I&D (75.3% arthroscopic, 24.7% open, Arthroscopic treatment carries a lower reoperation rate than open surgery for knee septic arthritis, but in the shoulder, the risk for revision I&D is similar after arthroscopic or open surgery.
Identifiants
pubmed: 35747656
doi: 10.1016/j.asmr.2022.04.014
pii: S2666-061X(22)00056-6
pmc: PMC9210470
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e1167-e1178Informations de copyright
© 2022 The Authors.
Références
J Bone Joint Surg Am. 2017 Mar 15;99(6):499-505
pubmed: 28291183
J Knee Surg. 2017 Nov;30(9):872-878
pubmed: 28249348
J Shoulder Elbow Surg. 2020 Jun;29(6):1121-1126
pubmed: 32057658
Arthroscopy. 2019 Jul;35(7):1984-1991
pubmed: 31196694
Infect Dis Now. 2020 May 5;51(2):164-169
pubmed: 32387296
Arthroscopy. 2018 Jan;34(1):213-219
pubmed: 28866341
Arthroscopy. 2022 Jun;38(6):1802-1809.e2
pubmed: 34920004
J Am Acad Orthop Surg. 2013 Nov;21(11):647-56
pubmed: 24187034
Orthop J Sports Med. 2021 Sep 07;9(9):23259671211036493
pubmed: 34514010
J Bone Joint Surg Am. 2015 Apr 1;97(7):558-64
pubmed: 25834080
J Bone Joint Surg Am. 2021 Sep 15;103(18):1685-1693
pubmed: 34524216
Mediators Inflamm. 2016;2016:5491971
pubmed: 27688601
J Am Acad Orthop Surg. 2017 Aug;25(8):e175-e184
pubmed: 28665804
J Shoulder Elbow Surg. 2021 Jan;30(1):34-39
pubmed: 32807379
Clin Microbiol Infect. 2006 Apr;12(4):309-14
pubmed: 16524406
Orthop Traumatol Surg Res. 2015 Feb;101(1):61-4
pubmed: 25623272
J Orthop. 2021 Apr 22;25:88-92
pubmed: 33994704
Orthop J Sports Med. 2021 Sep 24;9(9):23259671211040891
pubmed: 34604433
Acad Emerg Med. 2011 Aug;18(8):781-96
pubmed: 21843213
J Shoulder Elbow Surg. 2013 Mar;22(3):418-21
pubmed: 22748928
J Knee Surg. 2021 Jan;34(1):74-79
pubmed: 31288270
J Bone Joint Surg Br. 2009 Sep;91(9):1127-33
pubmed: 19721035