AI Article Synopsis
- The study compares the effectiveness of open versus arthroscopic surgery for treating septic arthritis in knee and shoulder joints, focusing on incidence and patient outcomes.
- Data was gathered from 1,993 knee patients and 476 shoulder patients who underwent irrigation and debridement between 2015 and 2018, looking at complications, readmissions, and reoperations over two years.
- Results showed that while arthroscopic treatment had lower reoperation rates for knee surgeries, both methods had similar outcomes for shoulders, indicating that the type of surgery may impact the need for follow-up procedures differently in these joints.
Article Abstract
Purpose: To compare the incidence, patient demographics, complication rates, readmission rates, and reoperation rates of open and arthroscopic surgery performed for septic arthritis in native knee and shoulder joints.
Methods: Records of patients who were diagnosed with native knee or shoulder septic arthritis and underwent open or arthroscopic irrigation and debridement (I&D) between 2015 and 2018 were queried from the PearlDiver Mariner Database. International Classification of Diseases 10th (ICD-10) diagnosis and procedure codes were used to identify patients and track reoperations. Reoperation procedures, including revision open and arthroscopic I&D, were analyzed at 1 month, 1 year, and 2 years. Complications, emergency department (ED) admissions, and hospital readmissions within 30 days were analyzed and compared between the open and arthroscopic cohorts.
Results: The query resulted with 1,993 patients who underwent knee I&D (75.3% arthroscopic, 24.7% open, < .001) and 476 patients who underwent shoulder I&D (64.8% arthroscopic, 35.2% open, < .001). One-month complication rates (11.6-22.7%) and hospital readmission rates (15.8-19.6%) were similar for arthroscopic and open treatment for knee and shoulder septic arthritis. Reoperation rates for revision I&D of the knee were higher after open compared to arthroscopic treatment at 1 month, 1 and 2 years (20.9% vs. 16.7%, 32.5% vs 27.6% and 34.1% vs. 29.4%, < .05, respectively). For shoulder septic arthritis 1-month, 1-year, and 2-year reoperation rates were similar for open and arthroscopic treatment (16.0% vs 11.7%, 22.0% vs 19.3%, and 22.7% vs 20.0%, = .57, respectively). Lastly, 6.7% of patients with native septic knee arthritis underwent subsequent arthroplasty by 2 years.
Conclusion: Arthroscopic treatment carries a lower reoperation rate than open surgery for knee septic arthritis, but in the shoulder, the risk for revision I&D is similar after arthroscopic or open surgery.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210470 | PMC |
| http://dx.doi.org/10.1016/j.asmr.2022.04.014 | DOI Listing |
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