Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement
<p>The objective of our study was to evaluate the association between acute periprosthetic joint infection (APJI) and radiographic measurement of soft-tissue thickness in elective total hip replacement surgery. A case-control study was conducted to compare the soft-tissue thickness radiographi...
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2021-06-01
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doaj-75c98467c75149cfab8bbd556c1806fd2021-06-04T06:24:13ZengCopernicus PublicationsJournal of Bone and Joint Infection2206-35522021-06-01621121710.5194/jbji-6-211-2021Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacementL. Rey Fernández0F. Angles Crespo1F. Angles Crespo2S. M. Miguela Álvarez3M. C. Bernaus-Johnson4A. Bartra Ylla5L. Font-Vizcarra6Department of Traumatology and Orthopaedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, SpainDepartment of Traumatology and Orthopaedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, SpainDepartment of Surgery, Universitat de Barcelona, Barcelona, SpainDepartment of Traumatology and Orthopaedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, SpainDepartment of Traumatology and Orthopaedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, SpainDepartment of Traumatology and Orthopaedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, SpainDepartment of Traumatology and Orthopaedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, Spain<p>The objective of our study was to evaluate the association between acute periprosthetic joint infection (APJI) and radiographic measurement of soft-tissue thickness in elective total hip replacement surgery. A case-control study was conducted to compare the soft-tissue thickness radiographic measurement (SRM) at the hip in patients diagnosed with APJI based on Tsukayama et al. (2003) criteria after total hip replacement with patients that were not infected, at a single institution from 2013 to 2019. To minimize selection bias, each case was matched with two controls using the following methodology: patients of the same sex, with an age variation of <span class="inline-formula">±</span> 5 years, and nearest in surgery date to the cases were selected. All postoperative radiographs were performed in the first 24 h after total hip arthroplasty (THA) surgery as it is protocolized in our institution. Soft-tissue thickness radiographic measurement was defined as the distance from the tip of the greater trochanter to the skin following a perpendicular line to the femoral diaphysis in postoperative anteroposterior hip radiographs. In total, 78 patients were included (26 cases and 52 controls). The SRM median of the cases was 76.19 mm (SD: 26.518) and 53.5 mm (SD: 20.47) in controls. A multivariate logistic regression model showed an independent association between APJI and SRM (odds ratio (OR) <span class="inline-formula">=</span> 1.033, 95 % confidence interval (CI) 1.007–1.059, <span class="inline-formula"><i>p</i>=0</span>.012). Patients with an SRM greater than 60 mm had a 7-fold increase in the odds of APJI (OR <span class="inline-formula">=</span> 7.295, 95 % CI <span class="inline-formula">=</span> 2.364–22.511, <span class="inline-formula"><i>p</i><0</span>.001). The results of our study suggest an association between large SRM at the hip and the risk of APJI in patients with primary total hip arthroplasty. SRM may be a helpful and easy tool for evaluating the risk of APJI before elective primary total hip replacement surgery.</p>https://jbji.copernicus.org/articles/6/211/2021/jbji-6-211-2021.pdf |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
L. Rey Fernández F. Angles Crespo F. Angles Crespo S. M. Miguela Álvarez M. C. Bernaus-Johnson A. Bartra Ylla L. Font-Vizcarra |
spellingShingle |
L. Rey Fernández F. Angles Crespo F. Angles Crespo S. M. Miguela Álvarez M. C. Bernaus-Johnson A. Bartra Ylla L. Font-Vizcarra Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement Journal of Bone and Joint Infection |
author_facet |
L. Rey Fernández F. Angles Crespo F. Angles Crespo S. M. Miguela Álvarez M. C. Bernaus-Johnson A. Bartra Ylla L. Font-Vizcarra |
author_sort |
L. Rey Fernández |
title |
Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement |
title_short |
Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement |
title_full |
Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement |
title_fullStr |
Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement |
title_full_unstemmed |
Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement |
title_sort |
soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement |
publisher |
Copernicus Publications |
series |
Journal of Bone and Joint Infection |
issn |
2206-3552 |
publishDate |
2021-06-01 |
description |
<p>The objective of our study was to evaluate the association between acute
periprosthetic joint infection (APJI) and radiographic measurement of soft-tissue thickness in elective total hip replacement surgery. A case-control study was conducted to compare the soft-tissue thickness
radiographic measurement (SRM) at the hip in patients diagnosed with APJI
based on Tsukayama et al. (2003) criteria after total hip replacement with patients
that were not infected, at a single institution from 2013 to 2019. To
minimize selection bias, each case was matched with two controls using the
following methodology: patients of the same sex, with an age variation of
<span class="inline-formula">±</span> 5 years, and nearest in surgery date to the cases were selected. All
postoperative radiographs were performed in the first 24 h after total hip arthroplasty (THA)
surgery as it is protocolized in our institution. Soft-tissue thickness
radiographic measurement was defined as the distance from the tip of the
greater trochanter to the skin following a perpendicular line to the femoral
diaphysis in postoperative anteroposterior hip radiographs. In total, 78 patients were included (26 cases and 52 controls). The SRM median of the cases
was 76.19 mm (SD: 26.518) and 53.5 mm (SD: 20.47) in controls. A multivariate
logistic regression model showed an independent association between APJI and
SRM (odds ratio (OR) <span class="inline-formula">=</span> 1.033, 95 % confidence interval (CI) 1.007–1.059, <span class="inline-formula"><i>p</i>=0</span>.012). Patients with an SRM
greater than 60 mm had a 7-fold increase in the odds of APJI
(OR <span class="inline-formula">=</span> 7.295, 95 % CI <span class="inline-formula">=</span> 2.364–22.511, <span class="inline-formula"><i>p</i><0</span>.001). The results of our study suggest an association between large SRM at the hip
and the risk of APJI in patients with primary total hip arthroplasty. SRM
may be a helpful and easy tool for evaluating the risk of APJI before
elective primary total hip replacement surgery.</p> |
url |
https://jbji.copernicus.org/articles/6/211/2021/jbji-6-211-2021.pdf |
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