RT Journal
A1 Fitzgerald RH, Jr, Bechtol CO, Eftekhar N, Nelson J
T1 REduction of deep sepsis after total hip arthroplasty
JF Archives of Surgery
JO Archives of Surgery
YR 1979
FD July 1
VO 114
IS 7
SP 803
OP 804
DO 10.1001/archsurg.1979.01370310045009
UL http://dx.doi.org/10.1001/archsurg.1979.01370310045009
AB • The role of the operating room environment in the development of deep sepsis after total hip arthroplasty was studied at four centers. The incidence of deep sepsis after 5,865 total hip arthroplasties performed in the four centers varied from 0.5% to 2.3%. Procedures performed in a conventional operating room were associated with the highest incidence of deep sepsis (1.3%). The use of a vertical, unidirectional airflow system with a helmet aspirator suite was associated with the lowest incidence of deep sepsis (0.6%). Although patients with previous hip surgery had an increased incidence of deep sepsis regardless of the operating room environment, those procedures performed in a vertical, unidirectional facility had a lower incidence of deep sepsis. Newer techniques designed for the reduction of airborne contamination of the operative wound seem to reduce the incidence of deep-wound sepsis after total hip arthroplasty, especially in patients with previous hip surgery.(Arch Surg 114:803-804, 1979)