Failure rates in surgical treatment in adults with bacterial arthritis of a native joint: a systematic review of 8,586 native joints.
Alex B WalingaTobias StornebrinkKaj S EmanuelArthur J KievitStein J JanssenGino M M J KerkhoffsPublished in: Archives of orthopaedic and trauma surgery (2023)
A single surgical debridement fails to control bacterial arthritis of a native joint in approximately a quarter of all adult cases. Limited to moderate evidence exists that risk factors associated with failure are: synovial white blood cell count, sepsis, large joint infection, and the volume of irrigation. These factors should urge physicians to be especially receptive to signs of an adverse clinical course.