Risk of Periprosthetic Joint Infection after Intra-Articular Injection: Any Difference among Shoulder, Knee and Hip?
- PMID: 38891135
- PMCID: PMC11171832
- DOI: 10.3390/healthcare12111060
Risk of Periprosthetic Joint Infection after Intra-Articular Injection: Any Difference among Shoulder, Knee and Hip?
Abstract
Osteoarthritis is a degenerative joint disease caused by the wear and tear of joint cartilage. The definitive and resolving treatment is prosthetic replacement of the articular surface, the demand of which is on the rise for patients with mild to moderate severity. However, a conservative strategy may be considered that aims to reduce and contain pain symptoms by postponing surgical treatment in the case of worsening that can no longer be otherwise controlled. Intra-articular infiltrations, like other therapeutic strategies, are not without complications, and among these the most feared is joint infection, especially in anticipation of future prosthetic replacement. Is important to avoid periprosthetic joint infections because they represent one of the third most common reasons for revision surgery. Using cases found in the literature, the aim of this article is to determine if there is a real correlation between the type of injections, the number of doses injected and the time between infiltrations and the surgical procedure.
Keywords: intra-articular injections; joint disease; periprosthetic joint infection.
Conflict of interest statement
The authors declare no conflicts of interest.
References
-
- Lai Q.M., Cai K.M., Lin T., Zhou C., Chen Z., Zhang Q. Prior Intra-articular Corticosteroid Injection within 3 Months May Increase the Risk of Deep Infection in Subsequent Joint Arthroplasty: A Meta-analysis. Clin. Orthop. Relat. Res. 2022;480:971–979. doi: 10.1097/corr.0000000000002055. - DOI - PMC - PubMed
-
- Baums M.H., Aquilina J., Pérez-Prieto D., Sleiman O., Geropoulos G., Totlis T. Risk analysis of periprosthetic knee joint infection (PJI) in total knee arthroplasty after preoperative corticosteroid injection: A systematic review. Arch. Orthop. Trauma Surg. 2023;143:2683–2691. doi: 10.1007/s00402-022-04532-z. - DOI - PubMed
-
- Baksh N., Etcheson J.I., Liu S., Ikwuazom C.P., Chen Z., Dubin J.A., Hameed D., Naziri Q. Pre-operative corticosteroid injection within 1 month of total shoulder arthroplasty is associated with increased risk of periprosthetic joint infection. Arch. Orthop. Trauma Surg. 2023;143:5609–5614. doi: 10.1007/s00402-023-04866-2. - DOI - PubMed
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