ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2018
Contamination of Irrigation Fluid During Primary Total Knee Arthroplasty.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The trial behind it
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- No significant difference in skin contamination during anterior cruciate ligament reconstruction with and without preoperative skin cleaning.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Bacterial contamination of irrigation fluid and suture material during ACL reconstruction and meniscus surgery : Low infection rate despite increasing contamination over surgery time.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Does performing total joint arthroplasty in the afternoon or evening increase the risk of prosthetic joint infection?Archives of orthopaedic and trauma surgery · 2021Article
- Does intraoperative contamination during primary knee arthroplasty affect patient-reported outcomes for patients who are uninfected 1 year after surgery? A prospective cohort study of 714 patients.Acta orthopaedica · 2020Observational
- Bacterial Colonization of Irrigation Fluid during Aseptic Revision Knee Arthroplasty.Journal of clinical medicine · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDuring surgical procedures, some amount of irrigation fluid leaks from the surgical site and accumulates on the sterile drapes. Whether these fluid collections show bacterial contamination over time in primary total knee arthroplasty remains unclear.
methodsIn this study, we included 100 patients. We collected the samples of irrigation fluid before skin incision and every 30 minutes after the start of surgery. In addition, at the end of surgery, we evaluated the suction tip for bacterial contamination. After 3 months, we clinically evaluated all patients for periprosthetic joint infection.
resultsAlthough the drapes were found to be sterile after 30 minutes, fluid residues on the surgical drapes show a contamination rate of 22% after 60 minutes and thus a marked correlation between advanced duration of surgery and bacterial contamination. The suction tip was contaminated with bacteria in 22% of cases. The spectrum of pathogens typical of periprosthetic joint infection could be demonstrated.
conclusionFluid surgical drape reservoirs were abacterial during the first 30 minutes but showed marked bacterial contamination over time. For total knee arthroplasty, we recommend regular replacement of the suction tip every 30 minutes. In addition, irrigation fluid reservoirs should not be withdrawn by suction 30 minutes after skin incision.
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Registered trials
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