Zero surgical site infection in primary knee arthroplasty with multidisciplinary intervention: Is it possible?

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dc.authoridZehra Çağla Karakoç / 0000-0002-1618-740X
dc.authorscopusidZehra Çağla Karakoç / 54889818300
dc.authorwosidZehra Çağla Karakoç / AAR-5295-2020
dc.contributor.authorKarakoç, Zehra Çağla
dc.contributor.authorHaklar U.
dc.date.accessioned2020-08-30T20:01:39Z
dc.date.available2020-08-30T20:01:39Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionKarakoç, Zehra Çağla (isu author)
dc.description.abstractSurgical site infections (SSI) are among the most important complications in knee arthroplasty. In this article we aim to retrospectively evaluate effects of preoperative multidisciplinary assessment and treatment of focal infections in primary knee arthroplasty patients operated by a single surgeon in a single center. A total of 93 patients undergoing 120 primary knee arthroplasty operations were included in the study. In the preoperative assessment all patients were consulted by infectious diseases, otorhinolaryngology (ENT) and dentistry departments, and female patients additionally by gynecology departments to evaluate and treat possible focal infections. Decolonization protocols were implemented for the bacterial growths detected in nasal and urine cultures. Patients received one of four surgical interventions, namely unilateral total knee arthroplasty (TKA), unilateral robotic-assisted unicompartmental knee arthroplasty (RUKA), bilateral RUKA or unilat- eral TKA and unilateral RUKA. No patients received bilateral TKA in a single session. Out of 93 patients 70 (75.3%) were female, mean age was 67.7±9.9 years, and American Society of Anesthesiologists (ASA) scores were <3 for 93.5% of the study group. Fifty-two (55.9%) of the patients received RUKA. Mean value for the duration of operations was 150.7±67 minutes, for hospitalization it was 5.9±2.8 days, and postoperative follow-up was 25.7±8.8 months. None of the patients developed SSI in the follow-up period. Many factors are associated with SSI after knee arthroplasty. Total absence of SSI in our study group may be attributable to meticulous patient selection, multidisciplinary preoperative assessment, and the performance of RUKA by a single surgeon in a single center. © 2018, EDIMES Edizioni Medico Scientifiche. All rights reserved.en_US
dc.identifier.citationÇağla, Z. K., & Haklar, U. (2018). Zero surgical site infection in primary knee arthroplasty with multidisciplinary intervention: is it possible?. Le infezioni in medicina: rivista periodica di eziologia, epidemiologia, diagnostica, clinica e terapia delle patologie infettive, 26(1), 15-21.en_US
dc.identifier.endpage21en_US
dc.identifier.issn1124-9390en_US
dc.identifier.issue1en_US
dc.identifier.pmid29525793en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage15en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/343
dc.identifier.volume26en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKarakoç, Zehra Çağlaen_US
dc.language.isoenen_US
dc.publisherEDIMES Edizioni Medico Scientificheen_US
dc.relation.ispartofInfezioni in Medicinaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectInterventionen_US
dc.subjectPrimary Knee Arthroplastyen_US
dc.subjectSurgical Site Infectionen_US
dc.titleZero surgical site infection in primary knee arthroplasty with multidisciplinary intervention: Is it possible?en_US
dc.typeArticleen_US

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