Arthroscopy versus arthrotomy for the treatment of septic knee arthritis

Daniel J. Johnson; Bennet A. Butler; Matthew J. Hartwell; Claire E. Fernandez; Richard W. Nicolay; Ryan S. Selley; Michael A. Terry; Vehniah K. Tjong

doi:10.1016/j.jor.2019.11.031

Arthroscopy versus arthrotomy for the treatment of septic knee arthritis

Daniel J. Johnson^*, Bennet A. Butler, Matthew J. Hartwell, Claire E. Fernandez, Richard W. Nicolay, Ryan S. Selley, Michael A. Terry, Vehniah K. Tjong

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Purpose: To compare complications following arthroscopy and arthrotomy for treatment of septic knee arthritis. Methods: Patients undergoing arthroscopy and arthrotomy for a diagnosis of septic knee arthritis were identified in National Surgical Quality Improvement Program and placed in a multivariate analysis to determine if type of surgery contributed to postoperative complications. Results: Knee arthrotomy was associated with an increased risk for increased operative time [Parameter estimate 4.555 (95% CI:3.023–6.085); p < 0.0001], minor morbid events [OR 2.064 (95% CI: 1.447–2.943); p < 0.0001], and any morbidity [OR 2.285 (95% CI:1.527–3.419); p < 0.0001]. Conclusions: Knee arthrotomy was associated with a higher risk of complications.

Original language	English (US)
Pages (from-to)	46-49
Number of pages	4
Journal	Journal of Orthopaedics
Volume	19
DOIs	https://doi.org/10.1016/j.jor.2019.11.031
State	Published - May 1 2020

Keywords

Arthroscopy
Arthrotomy
Septic knee

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.jor.2019.11.031

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@article{1b25d085f2ba45fd8a7a849309987502,

title = "Arthroscopy versus arthrotomy for the treatment of septic knee arthritis",

abstract = "Purpose: To compare complications following arthroscopy and arthrotomy for treatment of septic knee arthritis. Methods: Patients undergoing arthroscopy and arthrotomy for a diagnosis of septic knee arthritis were identified in National Surgical Quality Improvement Program and placed in a multivariate analysis to determine if type of surgery contributed to postoperative complications. Results: Knee arthrotomy was associated with an increased risk for increased operative time [Parameter estimate 4.555 (95% CI:3.023–6.085); p < 0.0001], minor morbid events [OR 2.064 (95% CI: 1.447–2.943); p < 0.0001], and any morbidity [OR 2.285 (95% CI:1.527–3.419); p < 0.0001]. Conclusions: Knee arthrotomy was associated with a higher risk of complications.",

keywords = "Arthroscopy, Arthrotomy, Septic knee",

author = "Johnson, {Daniel J.} and Butler, {Bennet A.} and Hartwell, {Matthew J.} and Fernandez, {Claire E.} and Nicolay, {Richard W.} and Selley, {Ryan S.} and Terry, {Michael A.} and Tjong, {Vehniah K.}",

note = "Publisher Copyright: {\textcopyright} 2019 Professor P K Surendran Memorial Education Foundation",

year = "2020",

month = may,

day = "1",

doi = "10.1016/j.jor.2019.11.031",

language = "English (US)",

volume = "19",

pages = "46--49",

journal = "Journal of Orthopaedics",

issn = "0972-978X",

publisher = "Reed Elsevier India Pvt. Ltd.",

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TY - JOUR

T1 - Arthroscopy versus arthrotomy for the treatment of septic knee arthritis

AU - Johnson, Daniel J.

AU - Butler, Bennet A.

AU - Hartwell, Matthew J.

AU - Fernandez, Claire E.

AU - Nicolay, Richard W.

AU - Selley, Ryan S.

AU - Terry, Michael A.

AU - Tjong, Vehniah K.

PY - 2020/5/1

Y1 - 2020/5/1

N2 - Purpose: To compare complications following arthroscopy and arthrotomy for treatment of septic knee arthritis. Methods: Patients undergoing arthroscopy and arthrotomy for a diagnosis of septic knee arthritis were identified in National Surgical Quality Improvement Program and placed in a multivariate analysis to determine if type of surgery contributed to postoperative complications. Results: Knee arthrotomy was associated with an increased risk for increased operative time [Parameter estimate 4.555 (95% CI:3.023–6.085); p < 0.0001], minor morbid events [OR 2.064 (95% CI: 1.447–2.943); p < 0.0001], and any morbidity [OR 2.285 (95% CI:1.527–3.419); p < 0.0001]. Conclusions: Knee arthrotomy was associated with a higher risk of complications.

AB - Purpose: To compare complications following arthroscopy and arthrotomy for treatment of septic knee arthritis. Methods: Patients undergoing arthroscopy and arthrotomy for a diagnosis of septic knee arthritis were identified in National Surgical Quality Improvement Program and placed in a multivariate analysis to determine if type of surgery contributed to postoperative complications. Results: Knee arthrotomy was associated with an increased risk for increased operative time [Parameter estimate 4.555 (95% CI:3.023–6.085); p < 0.0001], minor morbid events [OR 2.064 (95% CI: 1.447–2.943); p < 0.0001], and any morbidity [OR 2.285 (95% CI:1.527–3.419); p < 0.0001]. Conclusions: Knee arthrotomy was associated with a higher risk of complications.

KW - Arthroscopy

KW - Arthrotomy

KW - Septic knee

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U2 - 10.1016/j.jor.2019.11.031

DO - 10.1016/j.jor.2019.11.031

M3 - Article

C2 - 32021035

AN - SCOPUS:85078298788

SN - 0972-978X

VL - 19

SP - 46

EP - 49

JO - Journal of Orthopaedics

JF - Journal of Orthopaedics

ER -

Arthroscopy versus arthrotomy for the treatment of septic knee arthritis

Abstract

Keywords

ASJC Scopus subject areas

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