Publications by authors named "Cecile Ronde Oustau"
Article Synopsis
- Prosthetic joint infections (PJIs) caused by Candida species are serious complications following joint replacement surgeries, with a study reviewing 269 cases between 2010 and 2021 to assess treatment outcomes.
- The majority of infections occurred in older patients (average age 73), primarily in hips and knees, and most cases involved additional bacterial infections; roughly 58% achieved a cure at the two-year follow-up.
- Treatment effectiveness varied significantly depending on the surgical method used, with poorer outcomes linked to the debridement, antibiotics, and implant retention (DAIR) approach and patients older than 70, while infections from Candida parapsilosis tended to have better outcomes.
Cement loaded with high-dose gentamicin and clindamycin does not reduce the risk of subsequent infection after aseptic total hip or knee revision arthroplasty: a preliminary study.
J Orthop Traumatol
July 2024
Purpose: The aim of this study was to quantify the prophylactic effect of high-dose gentamicin and clindamycin antibiotic-loaded bone cement (ALBC) during revision total hip (rTHA) or knee (rTKA) arthroplasty for aseptic reasons. The hypothesis was that the raw surgical site infection (SSI) rate is lower when this particular cement is used in comparison with cement loaded with standard-dose gentamicin during rTHA or rTKA for aseptic reasons.
Methods: This retrospective study included 290 consecutive patients undergoing aseptic rTHA or rTKA.
Article Synopsis
- The study investigates the effectiveness of a one-stage revision procedure for chronic shoulder periprosthetic joint infection (PJI), involving 40 patients without any preoperative selection criteria.
- Results showed a 90% success rate in eradicating infection at a minimum two-year follow-up, with Cutibacterium acnes being the most common pathogen detected.
- Functional outcomes were generally positive, with 75% of patients reporting satisfaction as excellent or good, although 20% experienced postoperative complications.
Background: The use of antibiotic-loaded acrylic cement for treating periprosthetic joint infections remains controversial. We hypothesized that the raw rate of surgical site infection (SSI) is lower after using cement loaded with high-dose gentamicin and clindamycin than after using cement loaded with standard-dose gentamicin for implant fixation during 1-stage hip and knee revision arthroplasty for infection.
Methods: One hundred seventy-one continuous patients operated by 2 experienced surgeons during a 2-year period were included in the study.
Introduction: There is no consensus in the literature, or even within the same team, on the most appropriate treatment option for acute paronychia with abscess formation. The performance of an evaluation of professional practices (EPP) using a clinical audit measures the quality of our practices with the aim of standardizing them. Therefore, the primary objective of this study was to develop a clinical pathway for the management of acute paronychia with abscess formation.
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- Surgical treatment for chronic total elbow arthroplasty (TEA) infections has been primarily limited to a 2-stage exchange, but this study explores the effectiveness of a systematic 1-stage exchange approach.
- In a preliminary series of seven patients, 5 were included in the analysis; results showed that 80% achieved infection control after a mean follow-up of 40 months, with varied clinical outcomes.
- Complications included intraoperative fractures and neurological deficits, but the overall prognosis for infection management was promising, especially given the challenges from factors like cutaneous fistulae and immunosuppression.