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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2018, Number 2

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Ortho-tips 2018; 14 (2)

Is the use of medicated cement a protective factor against the development of periprosthetic infection in patients with primary total knee arthroplasty?

King-Denis EE, Pérez-Atanasio JM, Matehuala-García J, Lagunas-Sánchez CE, Nava-Tapia TM, Arroyo-Aparicio JY

Language: Spanish
References: 17
Page: 60-66
PDF size: 175.90 Kb.


ABSTRACT

Introduction: The use of antibiotic-loaded bone cement (ALBC) is an option to prevent periprosthetic infection (PI) in primary total knee arthroplasty (TKA), it is widely used in Europe, however its use remains controversial. Methods: Comparative study between two groups treated with antibiotic-loaded bone cement and without it. A total of 111 patients undergoing TKA between February-October 2017 were identified. Patients with TKA with simple bone cement were used as controls. Descriptive statistics, bivariate analysis for comparison between groups, correlation tests and odds ratios were applied. Results: We studied 111 patients: 23 with ALBC and 88 from the control group. The demographic characteristics of the groups evidenced their homogeneity. We found seven patients with PI in the control group, there was no PI in the group with ALBC. The use of ALBC was protective to prevent PI with an odds ratio of 0.929 and a 95% confidence intervals of 0.866 to 0.979 with p = 0.162. Conclusion: The use of ALBC proved to be a protective factor in our study against the development of PI in patients undergoing primary TKA.


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