Primary data from the local registry of periprosthetic hip infection at the National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
- Authors: Burtsev A.V.1, Tryapichnikov A.S.1, Ermakov A.M.1, Silant’eva T.A.1, Rozhkov N.I.1, Dyatlova I.M.1
-
Affiliations:
- National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
- Issue: Vol 30, No 2 (2024)
- Pages: 16-28
- Section: Clinical studies
- URL: https://journal-vniispk.ru/2311-2905/article/view/260234
- DOI: https://doi.org/10.17816/2311-2905-17431
- ID: 260234
Cite item
Abstract
Background. Obtaining accurate data on the epidemiology of periprosthetic joint infection (PJI) of the hip in the Russian Federation is a challenging task, which is associated with the peculiarities of statistical registration of complications and the lack of approved routing schemes.
The aim of the study — to provide the results of primary analysis of the data from the local registry of hip periprosthetic infection, which reflects all the treatment cases from 01.01.2020 to 31.12.2020.
Methods. Since 2021, the Center has been working on retrospective input of the data on patients PJI of the hip treated at the clinic into the electronic version of the registry. The information was collected by studying archived medical records and a medical information system, by examining patients in the outpatient clinic, and by interviewing patients via mobile phone and e-mail. During the period, we treated 449 patients with hip periprosthetic infection. The mean patients’ age was 55.6±12.6 years (Ме — 57; 95% CI: 54.4-56.8). Male patients accounted for 61.6% (n = 277).
Results. We were able to evaluate the treatment results in 84% (n = 377) of patients. The mean follow-up period was 5.92±2.55 years (Me — 6; 95% CI: 2.39-2.73). In more than 90% (n = 407) of cases, the infection was classified as chronic (more than 3 weeks of manifestation). At the admission 76,8% (n = 345) of patients had a fistula communicating with the joint cavity. The percentage of lethal outcomes due to sepsis was 1,7% (8/449); recurrences of hip PJI was observed in 6.2% (28/ 449) of cases. Resolution of infection has been achieved in 67% (300/449) of cases.
Conclusions. The primary analysis of the data from the local registry of hip periprosthetic infection of the national Ilizarov Center of Traumatology and Orthopedics showed that the average age of patients with hip PJI in our country is significantly lower than in the known national registries. At the same time, the infectious agents were similar: Gram-positive microorganisms accounted for more than 55%. The analysis of the registry data shows a significant decrease in the PJI recurrence rate over the last 5 years.
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##article.viewOnOriginalSite##About the authors
Alexander V. Burtsev
National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
Email: bav31rus@mail.ru
ORCID iD: 0000-0001-8968-6528
Scopus Author ID: 57200573018
http://www.ilizarov.ru/article/center-administration
Dr. Sci. (Med.)
Russian Federation, KurganAleksandr S. Tryapichnikov
National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
Author for correspondence.
Email: pich86@bk.ru
ORCID iD: 0000-0001-7305-506X
Scopus Author ID: 57201281800
Cand. Sci. (Med.)
Russian Federation, KurganArtem M. Ermakov
National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
Email: ema_cab@mail.ru
ORCID iD: 0000-0002-5420-4637
Scopus Author ID: 57069678600
Dr. Sci. (Med.)
Russian Federation, KurganTamara A. Silant’eva
National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
Email: tsyl@mail.ru
ORCID iD: 0000-0001-6405-8365
Scopus Author ID: 55543818800
Cand. Sci. (Med.)
Russian Federation, KurganNikita I. Rozhkov
National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
Email: digham@mail.ru
ORCID iD: 0000-0003-1848-9839
Scopus Author ID: 57862114000
Russian Federation, Kurgan
Irina M. Dyatlova
National Ilizarov Medical Research Centre for Traumatology and Orthopaedics
Email: ic_bic@mail.ru
ORCID iD: 0009-0007-6733-838X
Russian Federation, Kurgan
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