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Procrastination of wound drainage and malnutrition affect the outcome of joint arthroplasty
he association between wound drainage and subsequent periprosthetic infection is well known. However, the most appropriate treatment of wound drainage is not well understood. We retrospectively reviewed the records of 10,325 patients (11,785 procedures), among whom 300 patients (2.9%) developed persistent (greater than 48 hours postoperatively) wound drainage. Wound drainage stopped spontaneously between 2 and 4 days in 217 patients treated with local wound care and oral antibiotics. The remaining 83 patients (28%) underwent further surgery. A single dÃ©bridement resulted in cessation of drainage without subsequent infection in 63 of 83 patients (76%), whereas 20 (24%) patients continued to drain and underwent additional treatment (repeat dÃ©bridement, resection arthroplasty, or long-term antibiotics). Timing of surgery and the presence of malnutrition predicted failure of the first dÃ©bridement. There were no differences between the success and failure groups with regard to all other examined parameters, including demographic or surgical factors.
Procrastination of wound drainage and malnutrition affect the outcome of joint arthroplasty.
Jaberi FM, Parvizi J, Haytmanek CT, Joshi A, Purtill J.
Clin Orthop Relat Res. 2008 Jun;466(6):1368-71
Type: Reference Material
Author/Contact: Jaberi et al
Submitted by: admin
Added: Wed Nov 11 2009