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J Arthroplasty. 2010 Jan;25(1):87-92. doi: 10.1016/j.arth.2008.10.013. Epub 2008 Dec 4.

Incidence of prosthetic joint infections after primary knee arthroplasty.

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  • 1Medical School, University of Tampere, Tampere, Finland.


We report the 1-year incidence of postoperative infections in an unselected series of 2647 consecutive primary knee arthroplasties (3137 knees) performed in a modern specialized hospital dedicated solely to joint arthroplasty surgery in 2002 to 2006. The rates of superficial and prosthetic joint infections were 2.9% and 0.80%, respectively. Prospective surveillance by hospital infection register failed to detect 6 of the 24 prosthetic joint infections. Increased rate of prosthetic joint infections was associated with complex surgery and with several patient-related factors, for example, comorbidity, obesity, and poor preoperative clinical state. The rate of prosthetic joint infections in contemporary knee arthroplasty is low and mainly related to patient-related factors, of which patient comorbidity has the most profound effect on the infection rate.

2010 Elsevier Inc. All rights reserved.

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