Articles | Volume 8, issue 1
Original full-length article
13 Feb 2023
Original full-length article |  | 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, Rachid Mahdad, Brenda Elzer, Claudia Löwik, Wierd Zijlstra, Taco Gosens, Joris C. T. van der Lugt, Robert J. P. van der Wal, Rudolf W. Poolman, Matthijs P. Somford, Paul C. Jutte, Pieter K. Bos, Richard E. Zwaan, Rob G. H. H. Nelissen, Leo G. Visser, Mark G. J. de Boer, and the wound care app study group

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

Almeida, R. P., Mokete, L., Sikhauli, N., Sekeitto, A. R., and Pietrzak, J.: The draining surgical wound post total hip and knee arthroplasty: what are my options? A narrative review, EFORT Open Rev., 6, 872–880,, 2021. 
Armstrong, K. A., Coyte, P. C., Brown, M., Beber, B., and Semple, J. L.: Effect of Home Monitoring via Mobile App on the Number of In-Person Visits Following Ambulatory Surgery: A Randomized Clinical Trial, JAMA Surg., 152, 622–627,, 2017. 
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Hiligsmann, M., Cooper, C., Arden, N., Boers, M., Branco, J. C., Luisa Brandi, M., Bruyere, O., Guillemin, F., Hochberg, M. C., Hunter, D. J., Kanis, J. A., Kvien, T. K., Laslop, A., Pelletier, J. P., Pinto, D., Reiter-Niesert, S., Rizzoli, R., Rovati, L. C., Severens, J. L., Silverman, S., Tsouderos, Y., Tugwell, P., and Reginster, J. Y.: Health economics in the field of osteoarthritis: an expert's consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO), Semin. Arthritis Rheu., 43, 303–313,, 2013.  
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.