Abstract
Intra-articular steroids have been commonly used for the treatment of arthritis. The aim of our study was to discover any relation between deep infections following total knee arthroplasty and intra-articular steroid use before the arthroplasty. We undertook a retrospective matched cohort study. In the study group there were 32 patients with confirmed deep infection following total knee replacement. The control group consisted of 32 patients with no evidence of infection in the knee. There was no significant difference between the numbers of patients who received intra-articular steroid injection between the groups (P=1). We believe that infection following total knee replacement is due to multiple factors and that the use of intra-articular steroids does not alter the incidence of deep infections following total knee arthroplasty.
Résumé
L’injection de corticoides intra-articulaires est habituellement utilisée pendant le traitement de l’arthrose. Le but de notre étude a été de trouver’ sil existait des relations entre des infections profondes après prothèse totale du genou et l’injection de stéroides de corticoides intra-articulaires avant l’arthroplastie. Nous avons entrepris une étude rétrospective avec comparaison de deux cohortes. Dans le premier groupe il y avait 32 patients avec une infection confirmée après prothèse totale du genou, dans le groupe contrôle, également 32 patients, sans infections. Nous n’avons pas trouvé de différence signficative entre les deux groupes qu’ils aient bénéficié ou non d’infiltration de cordicoides (P=1). Nous pensons queles infections après prothèse totale du genou sont secondaires à demultiples facteurs et que l’utilisation d’injections intra-articulaires decorticoides n’entraine pas une augmentation d’incidence des infections profondes après arthroplastie totale du genou.
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Joshy, S., Thomas, B., Gogi, N. et al. Effect of intra-articular steroids on deep infections following total knee arthroplasty. International Orthopaedics (SICO 30, 91–93 (2006). https://doi.org/10.1007/s00264-005-0035-1
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DOI: https://doi.org/10.1007/s00264-005-0035-1