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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_10 | Pages 67 - 67
1 Oct 2022
Dale H Fenstad AM Hallan G Overgaard S Pedersen AB Hailer NP Kärrholm J Rolfson O Eskelinen A Mäkelä K Furnes O
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Aim

Previous publications have suggested that the incidence of revisions due to infection after THA is increasing. We performed updated time-trend analyses of risk and timing of revision due to infection after primary THAs in the Nordic countries during the period 2004–2018.

Methods

569,463 primary THAs reported to the Nordic Arthroplasty Register Association from 2004 through 2018 were studied. We estimated adjusted hazard ratios (aHR) with 95% confidence interval by Cox regression with the first revision due to infection after primary THA as endpoint. The risk of revision was investigated. In addition, we explored changes in the time span from primary THA to revision due to infection.


Orthopaedic Proceedings
Vol. 101-B, Issue SUPP_14 | Pages 94 - 94
1 Dec 2019
Honkanen M Jämsen E Karppelin M Huttunen R Eskelinen A Syrjänen J
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Aim

The risk for developing a periprosthetic joint infection (PJI) as a consequence of bacteremia is not clear, except for Staphylococcus aureus bacteremia, and patient-related risk factors for it are not known. The aim of this study was to investigate the risk for developing a PJI during any bacteremia and to find out possible risk factors leading to it.

Method

All patients with a primary knee or hip joint replacement performed between September 2002 and December 2013 in a tertiary care hospital (n=14 378) were retrospectively followed up until December 2014. The mean follow-up time was 6.0 years (range 0–12 years). Positive blood culture results of the patients during the study period were obtained. PJIs during the study period were identified from several data sources. PJIs as a consequence of bacteremia were recorded and confirmed from patient records. Primary PJIs resulting in bacteremia were excluded. Binary logistic regression with univariate analysis was used to study potential risk factors for PJI among those with bacteremia.