Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Infections
Abstract number: 25510
TO STUDY THE PATTERN & EVALUATE THE INCIDENCE OF INFECTIONS IN
TOTAL KNEE REPLACEMENTS
Prakash L.G. BANGALORE, Thomas CHANDY
Hosmat Hospital, Bangalore (INDIA)
Aim of the study: 1. To study the pattern of presentation of patients presenting with
infection in total knee replacements. 2. To evaluate the incidence of infections in total
knee replacements.Materials & methods: We had conducted a retrospective study of
420 total knee replacement done over a period of two and half years from May 2007
to October 2009. Our study had eighteen cases of TKR infection and included ten left
sided and eight right sided knees. There were sixteen females and two males in our
study, with a follow up ranging from six months to two years. Results: Our study had
a overall infection rate of 4.29%, with 38.9% of patients have associated
comorbidities. 72.2% of patients got totally cured (44.4% by dressings with or without
antibiotics, 16.7% by secondary suturing and 11.1% by surgical intervention). 5.6%
patients had recurrence of infection and11.2% of patients lost to follow up.
Conclusion: All cases of superficial infections got treated by procedures like
dressings, antibiotic and dressings or secondary suturing & Co-morbidities like
Diabetes mellitus, Rheumatoid arthritis and obesity definitively increase the risk of
infection. The risk was most significant within the first post-operative month which
should be addressed very cautiously to avoid deep infection.Recommendations:
1.Operative: Using separate operating room for joint replacement definitively reduces
the risk of infection and also traffic should be as less as possible. 2. Post-operative:
Suspicion and an eye to diagnose infection should be present.
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