Articles | Volume 7, issue 2
https://doi.org/10.5194/jbji-7-55-2022
https://doi.org/10.5194/jbji-7-55-2022
Original full-length article
 | 
22 Mar 2022
Original full-length article |  | 22 Mar 2022

The presence of a draining sinus is associated with failure of re-implantation during two-stage exchange arthroplasty

Alexandra S.​​​​​​​ Gabrielli, Alan E. Wilson, Richard A. Wawrose, Malcolm Dombrowski, Michael J. O'Malley, and Brian A. Klatt

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Subject: Risk factors for bone and joint infections | Topic: All topics
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Cited articles

Bialecki, J., Bucsi, L., Fernando, N., Foguet, P., Guo, S., Haddad, F., Hansen, E., Janvari, K., Jones, S., Keogh, P., Mchale, S., Molloy, R., Mont, M. A., Morgan-Jones, R., Ohlmeier, M., Saldaña, A.​​​​​​​, Sodhi, N., Toms, A., Walker, R., and Zahar, A.: Hip and Knee Section, Treatment, One Stage Exchange: Proceedings of International Consensus on Orthopedic Infections, J. Arthroplasty, 34, S421–S426, https://doi.org/10.1016/j.arth.2018.09.026, 2019. 
Byren, I., Bejon, P., Atkins, B. L., Angus, B., Masters, S., McLardy-Smith, P., Gundle, R., and Berendt, A.: One hundred and twelve infected arthroplasties treated with “DAIR” (debridement, antibiotics and implant retention): antibiotic duration and outcome, J. Antimicrob. Chemother., 63, 1264–1271, 2009. 
Chen, A. F., Heller, S., and Parvizi, J.: Prosthetic joint infections, Surg. Clin., 94, 1265–1281, 2014. 
Cooper, H. J. and Della Valle, C. J.: The two-stage standard in revision total hip replacement, Bone Joint J., 95-B, 84–87, 2013. 
Dale, H., Fenstad, A. M., Hallan, G., Havelin, L. I., Furnes, O., Overgaard, S., Pedersen, A. B., Kärrholm, J., Garellick, G., and Pulkkinen, P.: Increasing risk of prosthetic joint infection after total hip arthroplasty: 2,778 revisions due to infection after 432,168 primary THAs in the Nordic Arthroplasty Register Association (NARA), Acta Orthop., 83, 449–458, 2012. 
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Short summary
Prosthetic joint infection is a complicated problem, where reinfection can occur. Understanding risk factors for failure helps optimize care. This study investigated if the presence of a draining sinus tract was correlated with failure of two-stage revision. Previous cases were reviewed at our institution over a 10-year period. Patients with a sinus tract were significantly less likely to be replanted compared to those without a sinus tract at presentation.