Scholarlink

Purpose <p><i>Cutibacterium</i> species, formerly known as <i>Propionibacterium</i>, are gram-positive, anaerobic bacilli increasingly recognized as a cause of periprosthetic joint infection (PJI) following total hip arthroplasty (THA). This study aimed to compare the incidence of <i>Cutibacterium</i>-associated PJI among different surgical approaches for THA.</p> Methods <p>A retrospective review was conducted on patients treated for <i>Cutibacterium</i>-associated PJI following THA between 2011 and 2021. Patients were categorized based on the surgical approach: direct anterior (DAA), lateral, or posterior. A total of 211 patients met inclusion criteria, comprising 153 men (72.5%) and 58 women (27.5%).</p> Results <p>Among the 211 cases of <i>Cutibacterium</i>-associated PJI, 102 (48.3%) underwent THA via DAA, 63 (29.9%) via a lateral approach, and 46 (21.8%) via a posterior approach. There were no significant differences between groups in age, sex, laterality, BMI or fistula formation. The incidence of <i>Cutibacterium</i> PJI was significantly higher with DAA compared to the lateral (<i>P</i> &lt; 0.001) and posterior approaches (<i>P</i> &lt; 0.001), while no significant difference was observed between lateral and posterior approaches (<i>P</i> = 0.059). The rate of <i>Cutibacterium</i>-associated PJI has increased since 2016.</p> Conclusion <p>Nearly half of all <i>Cutibacterium</i> PJIs were associated with the DAA. Surgeons should be aware of this increased risk and implement appropriate preventive measures when performing THA via DAA.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Cutibacterium infections after total hip arthroplasty: does surgical approach play a role?

  • 期刊论文

  • 发表日期：

    2025年3月22日

查看全文
  • Rıfat Şahin,
  • T. David Luo,
  • Gianluca Campofreda,
  • Mehmet Kıvrak,
  • Thorsten Gehrke,
  • Mustafa Citak

摘要

Purpose

Cutibacterium species, formerly known as Propionibacterium, are gram-positive, anaerobic bacilli increasingly recognized as a cause of periprosthetic joint infection (PJI) following total hip arthroplasty (THA). This study aimed to compare the incidence of Cutibacterium-associated PJI among different surgical approaches for THA.

Methods

A retrospective review was conducted on patients treated for Cutibacterium-associated PJI following THA between 2011 and 2021. Patients were categorized based on the surgical approach: direct anterior (DAA), lateral, or posterior. A total of 211 patients met inclusion criteria, comprising 153 men (72.5%) and 58 women (27.5%).

Results

Among the 211 cases of Cutibacterium-associated PJI, 102 (48.3%) underwent THA via DAA, 63 (29.9%) via a lateral approach, and 46 (21.8%) via a posterior approach. There were no significant differences between groups in age, sex, laterality, BMI or fistula formation. The incidence of Cutibacterium PJI was significantly higher with DAA compared to the lateral (P < 0.001) and posterior approaches (P < 0.001), while no significant difference was observed between lateral and posterior approaches (P = 0.059). The rate of Cutibacterium-associated PJI has increased since 2016.

Conclusion

Nearly half of all Cutibacterium PJIs were associated with the DAA. Surgeons should be aware of this increased risk and implement appropriate preventive measures when performing THA via DAA.