Advertisement

Total Knee Arthroplasty Following a Sepsis History

  • Fred D. Cushner
  • Nicholas B. Frisch
  • Brian Darrith
  • Craig J. Della ValleEmail author
  • Casey R. Antholz
  • Keith R. ReinhardtEmail author
Chapter

Abstract

The importance of a complete history and physical examination is stressed at the time of medical school. And if that history includes a previous history of joint sepsis, the performance of a “routine” TKA is now more complicated. The obvious question remains, has the infection been eradicated? While on the surface, it may appear easy to rule out an active infection, but certainly the other issue is a bit more difficult. Is there residual or dormant infection that could become clinically significant once soft tissue releases and bone cuts are performed?

Keywords

Knee sepsis Preoperative radiographs Medial parapatellar approach Patellar preparation Two-stage revision arthroplasty Postoperative radiographs 

References

  1. 1.
    Brown NM, Cipriano CA, Moric M, Sporer SM, Della Valle CJ. Dilute betadine lavage before closure for the prevention of acute postoperative deep periprosthetic joint infection. J Arthroplasty. 2012;27(1):27–30.CrossRefPubMedGoogle Scholar
  2. 2.
    Jerry GJ Jr, Rand JA, Ilstrup D. Old sepsis prior to total knee arthroplasty. Clin Orthop Relat Res. 1988;(236):135–40.Google Scholar
  3. 3.
    Seo JG, Moon YW, Park SH, Han KY, Kim SM. Primary total knee arthroplasty in infection sequelae about the native knee. J Arthroplasty. 2014;29(12):2271–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Lee GC, Pagnano MW, Hanssen AD. Total knee arthroplasty after prior bone or joint sepsis about the knee. Clin Orthop Relat Res. 2002;(404):226–31.Google Scholar
  5. 5.
    Bauer T, Lacoste S, Lhotellier L, Mamoudy P, Lortat-Jacob A, Hardy P. Arthroplasty following a septic arthritis history: a 53 cases series. Orthop Traumatol Surg Res. 2010;96(8):840–3.CrossRefPubMedGoogle Scholar
  6. 6.
    Yi PH, Frank RM, Vann E, Sonn KA, Moric M, Della Valle CJ. Is potential malnutrition associated with septic failure and acute infection after revision total joint arthroplasty? Clin Orthop Relat Re. 2015;473(1):175–82.CrossRefGoogle Scholar
  7. 7.
    Bohl DD, Shen MR, Kayupov E, Cvetanovich GL, Della Valle CJ. Is hypoalbuminemia associated with septic failure and acute infection after revision total joint arthroplasty? A study of 4517 patients from the National Surgical Quality Improvement Program. J Arthroplasty. 2016;31(5):963–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Fu MC, D’Ambrosia C, McLawhorn AS, Schairer WW, Padgett DE, Cross MB. Malnutrition increases with obesity and is a stronger independent risk factor for postoperative complications: a propensity-adjusted analysis of total hip arthroplasty patients. J Arthroplasty. 2016;31(11):2415–21.CrossRefPubMedGoogle Scholar
  9. 9.
    Morey VM, Song YD, Whang JS, Kang YG, Kim TK. Can serum albumin level and total lymphocyte count be surrogates for malnutrition to predict wound complications after total knee arthroplasty? J Arthroplasty. 2016;31(6):1317–21.CrossRefPubMedGoogle Scholar
  10. 10.
    Cross MB, Yi PH, Thomas CF, Garcia J, Della Valle CJ. Evaluation of malnutrition in orthopaedic surgery. J Am Acad Orthop Surg. 2014;22(3):193–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Morgan PM, Sharkey P, Ghanem E, Parvizi J, Clohisy JC, Burnett RS, et al. The value of intraoperative Gram stain in revision total knee arthroplasty. J Bone Joint Surg Am. 2009;91(9):2124–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Tsaras G, Maduka-Ezeh A, Inwards CY, Mabry T, Erwin PJ, Murad MH, et al. Utility of intraoperative frozen section histopathology in the diagnosis of periprosthetic joint infection: a systematic review and meta-analysis. J Bone Joint Surg Am. 2012;94(18):1700–11.CrossRefPubMedGoogle Scholar
  13. 13.
    Namba RS, Chen Y, Paxton EW, Slipchenko T, Fithian DC. Outcomes of routine use of antibiotic-loaded cement in primary total knee arthroplasty. J Arthroplasty. 2009;24(6 Suppl):44–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Joseph TN, Chen AL, Di Cesare PE. Use of antibiotic-impregnated cement in total joint arthroplasty. J Am Acad Orthop Surg. 2003;11(1):38–47.CrossRefPubMedGoogle Scholar
  15. 15.
    Jiranek WA, Waligora AC, Hess SR, Golladay GL. Surgical treatment of prosthetic joint infections of the hip and knee: changing paradigms? J Arthroplasty. 2015;30(6):912–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Sherrell JC, Fehring TK, Odum S, et al. The Chitranjan Ranawat Award: fate of two-stage reimplantation after failed irrigation and Débridement for periprosthetic knee infection. Clin Orthop Relat Res. 2011;469(1):18–25.CrossRefPubMedGoogle Scholar
  17. 17.
    Jämsen E, Stogiannidis I, Malmivaara A, Pajamäki J, Puolakka T, Konttinen YT. Outcome of prosthesis exchange for infected knee arthroplasty: the effect of treatment approach: a systematic review of the literature. Acta Orthop. 2009;80(1):67–77.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Insall JN, Thompson FM, Brause BD. Two-stage reimplantation for the salvage of infected total knee arthroplasty. J Bone Joint Surg Am. 1983;65(8):1087–98.CrossRefPubMedGoogle Scholar
  19. 19.
    Lichstein P, Su S, Hedlund H, et al. Treatment of periprosthetic knee infection with a two-stage protocol using static spacers. Clin Orthop Relat Res. 2016;474(1):120–5.CrossRefPubMedGoogle Scholar
  20. 20.
    Gooding CR, Masri BA, Duncan CP, Greidanus NV, Garbuz DS. Durable infection control and function with the PROSTALAC spacer in two-stage revision for infected knee arthroplasty. Clin Orthop Relat Res. 2011;469(4):985–93.CrossRefPubMedGoogle Scholar
  21. 21.
    Tande AJ, Patel R. Prosthetic joint infection. Clin Microbiol Rev. 2014;27(2):302–45.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Silvestre A, Almeida F, Renovell P, Morante E, López R. Revision of infected total knee arthroplasty: two-stage reimplantation using an antibiotic-impregnated static spacer. Clin Orthop Surg. 2013;5(3):180–7.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Springer BD, Lee GC, Osmon D, Haidukewych GJ, Hanssen AD, Jacofsky DJ. Systemic safety of high-dose antibiotic-loaded cement spacers after resection of an infected total knee arthroplasty. Clin Orthop Relat Res. 2004;427:47–51.CrossRefGoogle Scholar
  24. 24.
    Emerson RH Jr, Muncie M, Tarbox TR, Higgins LL. Comparison of a static with a mobile spacer in total knee infection. Clin Orthop Relat Res. 2002;404:132–8.CrossRefGoogle Scholar
  25. 25.
    Durbhakula SM, Czajka J, Fuchs MD, Uhl RL. Antibiotic-loaded articulating cement spacer in the 2-stage exchange of infected total knee arthroplasty. J Arthroplasty. 2004;19:768–74.CrossRefPubMedGoogle Scholar
  26. 26.
    Voleti PB, Baldwin KD, Lee GC. Use of static or articulating spacers for infection following total knee arthroplasty: a systematic literature review. J Bone Joint Surg Am. 2013;95:1594–9.CrossRefPubMedGoogle Scholar
  27. 27.
    Parvizi J, Ghanem E, Menashe S, et al. Periprosthetic infection: what are the diagnostic challenges? J Bone Joint Surg Am. 2006;88-A(Suppl 4):138–47.Google Scholar
  28. 28.
    Pivec R, et al. Systematic review comparing static and articulating spacers used for revision of infected total knee arthroplasty. J Arthroplasty. 2014;29(3):443–57.CrossRefGoogle Scholar
  29. 29.
    Edwards PK, Fehring TK, Hamilton WG, et al. Are cementless stems more durable than cemented stems in two-stage revisions of infected total knee arthroplasties? Clin Orthop Relat Res. 2014;472(1):206–11.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Fred D. Cushner
    • 1
  • Nicholas B. Frisch
    • 2
  • Brian Darrith
    • 2
  • Craig J. Della Valle
    • 3
    Email author
  • Casey R. Antholz
    • 4
  • Keith R. Reinhardt
    • 4
    Email author
  1. 1.Northwell Health Orthopedic InstituteNew YorkUSA
  2. 2.Department of Orthopedic SurgeryRush University Medical CenterChicagoUSA
  3. 3.Division of Adult Reconstructive Surgery, Department of Orthopaedic SurgeryRush University Medical CenterChicagoUSA
  4. 4.Department of Orthopaedic SurgeryHofstra-Northwell School of Medicine, Northwell Health Orthopaedic Institute at Southside HospitalBayshoreUSA

Personalised recommendations