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Septic revision total knee arthroplasty is associated with significantly higher mortality than aseptic revisions: long-term single-center study (1254 patients)

Journal of Arthroplasty Feb 21, 2021

Matar HE, Bloch BV, Snape SE, et al. - In this study, the variations in long-term mortality rates were explored between septic and aseptic revision total knee arthroplasty (rTKA) in a single specialist center over a 17-year period. Between 2003 and 2019, researchers conducted a retrospective consecutive study of all patients who had undergone rTKA at the tertiary center. They categorized revisions as septic or aseptic. Patients’ age, gender, American Society of Anesthesiologists grade, and body mass index were distinguished. They conducted 1,298 consecutive knee revisions on 1,254 patients (44 bilateral revisions) with 985 aseptic revisions in 945 patients (75.4%) and 313 septic revisions in 309 patients (24.6%). In comparison with aseptic revision surgery, rTKA conducted for infection is correlated with significantly higher long-term mortality at all time points.

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