Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Klim, SM; Amerstorfer, F; McNally, MA; Trebse, R; Slokar, U; Sigmund, IK; Hecker, A; Reinbacher, P; Leitner, L; Bernhardt, GA; Leithner, A; Wanko, S; Glehr, M.
The Sinus Tract in Bone and Joint Infection: Minimally Invasive Salvation or Prolonged Suffering? A Multicenter Study.
J Pers Med. 2023; 13(5): 737
Doi: 10.3390/jpm13050737
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- Führende Autor*innen der Med Uni Graz
- Hecker Andrzej Stanislaw
- Klim Sebastian Martin
- Co-Autor*innen der Med Uni Graz
- Amerstorfer Florian Ludwig
- Bernhardt Gerwin
- Glehr Mathias
- Leithner Andreas
- Leitner Lukas
- Reinbacher Patrick
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- Abstract:
- UNLABELLED: This study assessed the quality of life (QOL) and the functional outcome in daily living in patients with a chronic, treatment-resistant periprosthetic joint infection (PJI) or osteomyelitis, living with a natural or iatrogenic sinus tract. METHODS: A follow-up examination in three national reference centers for septic bone and joint surgery was performed utilizing the Hospital Anxiety and Depression Scale (HADS-D/A), the Visual Analogue Scale (VAS), and the Short Form-36 (SF-36) score, including patients with a chronic sinus tract due to treatment-resistant PJI or osteomyelitis. RESULTS: In total, 48 patients were included, with a mean follow-up time of 43.1 ± 23.9 months. The mean SF-36 Mental Component Summary (MCS) was 50.2 (±12.3) and the Physical Component Summary (PCS) was 33.9 (±11.3). The mean HADS-D was 6.6 (±4.4) and HADS-A was 6.2 (±4.6), and the VAS was 3.4 (±2.6). The SF-36 MCS showed no significant differences between the study group and the standard population (47.0, p = 0.10), as well as the HADS-A. The PCS in the study population was significantly worse (50.0, p < 0.001), as was the HADS-D. CONCLUSIONS: A sinus tract represents a treatment option in selected cases with an acceptable QOL. The treatment should be considered for multimorbid patients with a high perioperative risk or if the bone or soft tissue quality prevents surgery.
- Find related publications in this database (Keywords)
- osteomyelitis
- periprosthetic joint infection
- salvage procedure
- sinus tract
- quality of life