Low Infection Rates in Total Knee Arthroplasty in End Stage Renal Failure Patients.
End stage renal failure is considered a risk factor for postoperative infection and many surgeons are cautious in offering this group of patients total knee arthroplasty for symptomatic osteoarthritis. In this retrospective study, 16 total knee arthroplasties were performed in 13 patients and each case was followed up for an average of 5.1 years. We report no cases of infection and also an overall improvement in multiple validated outcome measures. There were, however, 2 cases of periprosthetic loosening. As the patients in our series were generally younger and none was diagnosed with stroke or peripheral vascular disease at the time of surgery, we believe that careful patient selection is key to reducing infection rates in this challenging group of patients.
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Zhixing Marcus
ZM
Ling
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Jun Wei
JW
Soong
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Bryan
B
Loh
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Seng Jin
SJ
Yeo
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Hee Nee
HN
Pang
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Ngai Nung
NN
Lo
D000328:Adult; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000150:complications* / Q000601:surgery*; D011183:Postoperative Complications; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000175:diagnosis*; D012086:Reoperation / Q000009:adverse effects; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome
end stage renal failure; infection; osteoarthritis; outcome scores; total knee arthroplasty