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首页> 外文期刊>Hip international: the journal of clinical and experimental research on hip pathology and therapy >Surgical approach does not affect deep infection rate after primary total hip arthroplasty
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Surgical approach does not affect deep infection rate after primary total hip arthroplasty

机译：初级髋关节置换术后，手术方法不会影响深度感染率

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Background: There is a concern for higher rates of wound complications and a potentially increased periprosthetic joint infection (PJI) risk after total hip arthroplasty (THA) with the direct anterior approach (DAA) compared to the posterolateral approach (PLA). Our purpose was to compare PJI risk after THA with the DAA or the PLA and to identify risk factors for PJI after primary THA. Methods: Clinical characteristics of patients treated in our institution with primary DAA or PLA THA between 1/2010 and 12/2015 were retrospectively reviewed. The respective deep PJI rates were calculated. A logistic regression model was constructed to determine a potential difference in the PJI risk between the 2 groups, and risk factors for hip PJI in all patients. Results: During the period studied, there were 1,182 DAA THAs and 18,853 PLA THAs. The PJI rate was 0.25% for the DAA group and 0.31% for the PLA group (p = 1.0). The DAA was not associated with a significantly increased risk for PJI compared to the PLA. Compared to younger patients, older patients had lower PJI risk; patient discharge to home was also associated with lower PJI risk compared to other discharge disposition; longer length of stay was associated with higher PJI risk compared to shorter length of stay. Conclusion: The DAA is equally safe compared the PLA with respect to PJI risk. Younger age, discharge to facilities other than home and increased length of stay increase the risk for deep PJI after primary THA.
机译：背景：与后侧接近（PLA）相比，患有较高的伤口并发症率和潜在的伤口关节感染（THA）潜在的伤口关节感染（PJI）风险。我们的目的是将PJI风险与DAA或PLA进行比较，并识别初级THA后PJI的风险因素。方法：回顾性审查了在1/2010年和2015年12月1日至2015年间的主要DAA或PLA THA中患者的临床特征。计算各自的深层速率。构建了逻辑回归模型，以确定所有患者在所有患者中髋关节PJI的PJI风险的潜在差异。结果：在研究期间，有1,182个Daa Thas和18,853 PLA。 DAA组的PJI率为0.25％，PLA组的0.31％（P = 1.0）。与PLA相比，DAA与PJI的风险显着增加。与年轻患者相比，老年患者的PJI风险较低;与其他放电配置相比，对家庭的患者放电也与较低的PJI风险有关;与较短的住宿时间相比，较长的逗留时间与较高的PJI风险有关。结论：DAA与PJI风险相比，PLA与PLA相比同样安全。年龄较小，出院，除了家庭以外的设施，较高的时间越来越长，初级THA后深层PJI的风险增加。

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