Preoperative CSI is associated with increased conversion from UKA to TKA for noninfectious indications. Preoperative CSI within 3 months of UKA is not associated with postoperative infection, although significant medical comorbidity does show an association. CSI within 3 months of surgery (1.5%) or 3 to 12 months (1.8%) were associated with increased conversion to total knee arthroplasty (TKA) compared with those who did not receive an injection (1.1%, p = 0.01), although TKA for indication of periprosthetic joint infection was not statistically different ( p = 0.72). Multivariable analysis controlling for these characteristics elicited no relationship between recent CSI administration and postoperative infection. Univariable predictors of infection included younger age, increasing Charlson Comorbidity Index, smoking, asthma, chronic obstructive pulmonary disease, chronic kidney disease, diabetes, liver disease, and obesity. Gerlinger has been practicing medicine for over 29 years and is rated as an Experienced. Two or more CSI within 3 months prior to UKA were associated with a twofold elevated odds of infection, compared with receiving a single injection (odds ratio : 2.08, p = 0.03). Unicompartmental Knee Arthroplasty: Indications, Surgical Techniques and Complications. Tad Gerlinger is an Orthopedics expert in Westchester, Illinois. His services include treatment for hip & knee disorders. CSI within 1 month prior to UKA was not statistically associated with postoperative infection ( p = 0.66). Hip & Knee Reconstruction and Replacement Specialist in Chicago. Postoperative deep infections occurred in 64 patients with CSI 0 to 3 months prior to surgery (0.7%), compared with 0 patients with CSI 3 to 12 months before surgery (0.0%) and 182 controls (0.8%, p = 0.58). Tad Gerlinger has primarily specialised in Orthopedic Surgery for over 29 years. Time-dependent and dose-dependent relationships were modeled using multivariable logistic regressions. Overall, 246 postoperative deep infections were reported (0.8%). Of 31,676 patients with a UKA who met enrollment criteria, 8,628 patients had a CSI 0 to 3 months prior to surgery, 111 had a CSI 3 to 12 months prior to surgery, and 22,937 never received an injection. An administrative claims database was queried for patients undergoing UKA with more than 1 year of pre-enrollment and follow-up. Tad Gerlinger, MD - Rush University Medical Center Return to Results Tad Gerlinger, MD PRIV Clinical Area: Orthopedic Care Specialty: Orthopaedic Surgery Languages: English Phone: (877) 632-6637 Request an Appointment About Me I did three years of general orthopedics in the Army. This study sought to determine if there is a time- and/or dose-dependent relationship between preoperative CSI and postoperative infection. Save as header-footer-export (format: 'webpage complete' to save all files) Open header-footer-export.html in incognito window Remove everything after Remove everything before. It is unclear whether CSI prior to UKA impacts the likelihood of postoperative infection. Tad Gerlinger, MD is affiliated with Rush University Medical Center and specializes in Orthopedic Care in Chicago, IL. Prior to unicompartmental knee arthroplasty (UKA), corticosteroid injections (CSI) are a common nonoperative treatment for arthritis.
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