Articles | Volume 8, issue 1
https://doi.org/10.5194/jbji-8-59-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-8-59-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
Original full-length article
| 
13 Feb 2023
Original full-length article |
| 13 Feb 2023
| 13 Feb 2023
Wound drainage after arthroplasty and prediction of acute prosthetic joint infection: prospective data from a multicentre cohort study using a telemonitoring app
Henk Scheper
CORRESPONDING AUTHOR
Department of Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands
Rachid Mahdad
Department of Orthopaedic Surgery, Alrijne Hospital, Leiderdorp, the Netherlands
Brenda Elzer
Department of Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands
Claudia Löwik
Department of Orthopaedic Surgery, University Medical Centre Groningen, Groningen, the Netherlands
Wierd Zijlstra
Department of Orthopaedic Surgery, Medical Centre Leeuwarden, Leeuwarden, the Netherlands
Taco Gosens
Department of Orthopaedic Surgery, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands
Joris C. T. van der Lugt
Department of Orthopaedic Surgery, Reinier Haga Orthopaedic Centre, Zoetermeer, the Netherlands
Robert J. P. van der Wal
Department of Orthopaedics, Leiden University Medical Centre, Leiden, the Netherlands
Rudolf W. Poolman
Department of Orthopaedics, Leiden University Medical Centre, Leiden, the Netherlands
Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands
Matthijs P. Somford
Department of Orthopaedic Surgery, Rijnstate Hospital, Arnhem, the Netherlands
Paul C. Jutte
Department of Orthopaedic Surgery, University Medical Centre Groningen, Groningen, the Netherlands
Pieter K. Bos
Department of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands
Richard E. Zwaan
Department of Biomedical Data Sciences, Advanced Data Management, Leiden University Medical Centre, Leiden, the Netherlands
Rob G. H. H. Nelissen
Department of Orthopaedics, Leiden University Medical Centre, Leiden, the Netherlands
Leo G. Visser
Department of Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands
Mark G. J. de Boer
Department of Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands
A full list of authors appears at the end of the paper.
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Short summary
The relation between postoperative wound leakage and occurrence of a prosthetic joint infection (PJI) after arthroplasty has not been investigated in a prospective study. We performed a large cohort study in which 1019 patients, after arthroplasty, recorded their wound drainage status in a wound care app during 30 postoperative days. Risk factors for wound drainage were identified. Moderate to heavy wound leakage in the third postoperative week was strongly associated with the occurrence of PJI.
The relation between postoperative wound leakage and occurrence of a prosthetic joint infection...
