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April 15-16, 2019 | Milan, Italy
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Ortho Congress 2019 Journal of Orthopedic Surgery and Rehabilitation | ISSN: 2630-4473 | Volume 3
ORTHOPEDICS, RHEUMATOLOGY
AND OSTEOPOROSIS
2nd Annual Conference on
INADEQUATE EVALUATION AND MANAGEMENT OF SUSPECTED INFECTIONS AF-
TER TKA SURGERY- A REPORT FROM THE LITHUANIAN ARTHROPLASTY REGISTER
ON 2,769 PATIENTS WITH TWO YEAR FOLLOW-UP
Egle Terteliene 1, Kazimieras Grigaitis2, Otto Robertsson 3, Justinas Stucinskas2,
Sarunas Tarasevicius 2, Narunas Porvaneckas1 and Algirdas Venalis1, 4
1 Vilnius University, Lithuania
2 Lithuanian University of Health Sciences, Lithuania
3 Lund University and Lund University Hospital, Sweden
4 State Research Institute Center for Innovative Medicine, Lithuania
Backgrounds & Purpose: The evidence-based algorithms for the treatment of periprosthetic joint infection
(PJI) recommend surgical intervention in combination with use of systemic antibiotics. However, still it is not
unusual to treat Total Knee Arthroplasty (TKA) patients with suspected infection only using antibiotics (AB).
The aim of our study was to investigate treatment pathways for patients after TKA with suspected infection in
Lithuania.
Patients &Methods: Of the 4,069 TKA patients (4,269 knees) registered in the Lithuanian Arthroplasty Register
2,769 patients (2 825 knees), were interviewed two years after the surgery. The patients were inquired if they
had been subject to AB treatment after the TKA surgery and/or if any additional surgical interventions on the
operated knee had been performed. The number of patients treated with antibiotics due to problems in the
operated knee was identified and Cumulative Revision Rates (CRR) were calculated.
Results: 188 (6 %) patients out of the 2,769 reported that they had been prescribed AB after the primary TKA,
132 patients (70%) said they had received AB due to problems with the operated knee. Out of the 132 patients,
68 (51.5%) reported that the reason for the AB treatment had been infection prophylaxis, while the remaining
64 patients (48.5%) reported that the reason for the treatment had been that the physician had suspected a
prosthetic joint infection (redness, pain, swelling on operated knee, wound leakage). The two- year CRR after
TKA in patients not treated with AB was 0.7% (CI 0.4; 1), as compared to 23.6% (CI 17.3; 31.7) in those who had
used antibiotics due to the problems in operated knee for more than one week.
Interpretation: In Lithuania there seems to be a lack of adherence to evidence based treatment guidelines
when infection is suspected after primary TKA.
Egle Terteliene et al., J ortho Rehab Surg. 2019, Volume 3 | DOI: 10.4066/2630-4473-C1-002
Egle Terteliene is a PhD student in Vilnius University, Lithuania. Her field of interest is total joint arthroplasty. She is one of the mem-
ber of group researchers working with Lithuanian Arthroplasty Register and presenting results in international conferences and
preparing manuscripts.
BIOGRAPHY