Total Hip or Knee Arthroplasty in Patients with a History of Native Joint Septic Arthritis: A Meta-analysis and Systematic Review of Risk Factors of Prosthetic Joint Infection.

Sravan Kumar Sanka, Muhammad Tahir, Sathya Lakpriya, Chiranjit De, Tofunmi Oni, Todd P Pierce

Abstract readSystematic ReviewMeta-Analysis

In one paragraph

Synthesis in Clinics in orthopedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sravan Kumar SankaDepartment of Trauma and Orthopaedics, East Kent Hospitals University NHS Foundation Trust, Kent, UK.ORCID https://orcid.org/0000-0002-5844-9666

Muhammad TahirDepartment of Trauma and Orthopaedics, East Kent Hospitals University NHS Foundation Trust, Kent, UK.ORCID https://orcid.org/0000-0001-8836-7496

Sathya LakpriyaDepartment of Trauma and Orthopaedics, East Kent Hospitals University NHS Foundation Trust, Kent, UK.ORCID https://orcid.org/0000-0003-1921-7560

Chiranjit DeDepartment of Trauma and Orthopaedics, East Kent Hospitals University NHS Foundation Trust, Kent, UK.ORCID https://orcid.org/0000-0002-9273-4022

Tofunmi OniDepartment of Trauma and Orthopaedics, East Kent Hospitals University NHS Foundation Trust, Kent, UK.ORCID https://orcid.org/0000-0003-0910-698X

Todd P PierceUniversity of Pittsburgh Medical Center Western Maryland, Cumberland, MD, USA.ORCID https://orcid.org/0000-0001-9514-7360

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Septic arthritis is a debilitating diagnosis, and many of these patients elect to undergo total knee arthroplasty (TKA) and total hip arthroplasty (THA). The purpose of this systematic review and meta-analysis is to assess the risk of prosthetic joint infection (PJI) in those who undergo primary TKA or THA with a history of septic joint arthritis. Secondarily, we will evaluate patient-specific or surgical factors that could increase the risk of primary arthroplasty failure. Methods: A comprehensive search of PubMed, CINAHL Plus, Embase, and Scopus was performed. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed for study selection, data extraction, and analysis. From a total of 404 articles, 18 studies were selected for inclusion. Results: Our final cohort consisted of 1,758 arthroplasties with Conclusions: Male sex and resistant organism as causes of septic arthritis were associated with an increased risk of PJI in patients with a history of native septic arthritis. Single- and 2-stage procedures had similar success rates. Future studies should be larger and focus on long-term outcomes in these patients.

Indexed as

Arthritis, InfectiousArthroplasty, Replacement, HipArthroplasty, Replacement, KneeProsthesis-Related InfectionsHumansMaleRisk FactorsHip arthroplastyKnee arthroplastyProsthetic joint infectionsRisk factorsSeptic arthritis

Identifiers

PMID41356548

DOI10.4055/cios25102

PMCPMC12676921

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