AI Article Synopsis
- The study reviewed 231 patients who had total knee replacements, ultimately focusing on 144 after applying exclusion criteria and follow-up losses.
- Among these patients, a comparison was made between those who received intra-articular steroid injections before surgery and those who did not.
- The findings indicated that deep infections were exclusively found in patients who had received steroid injections, suggesting caution in administering these steroids before knee replacement surgeries due to the increased risk of post-operative infections.
Article Abstract
We reviewed 231 patients who had undergone total knee replacement with an AGC (Biomet) implant over a period of 2.5 years. After applying exclusion criteria and with some loss to follow-up, there were 144 patients available for study. These were divided into two groups; those who had received intra-articular steroid in the 11 months before surgery and those who had not. There were three deep infections, all of which occurred in patients who had received a steroid injection. The incidence of superficial infection was not significantly different in the two groups. Five patients had undergone investigation for suspected deep infection because of persistent swelling or pain and all of these had received an intra-articular injection pre-operatively. We conclude that the decision to administer intra-articular steroids to a patient who may be a candidate for total knee replacement should not be taken lightly because of a risk of post-operative deep infection.
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| http://dx.doi.org/10.1302/0301-620X.88B3.17136 | DOI Listing |
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