Clinical Study

Two-Stage Revision TKA Is Associated with High Complication and Failure Rates

Table 3

Bacteria present at time of initial surgery and at time of failure.

Initial organismOrganism at failureNew organism at failure

Coagulase negative Staphylococcus Eradicated1N/A
MSSA2Staphylococcus lugdunensis Yes
Gram + CocciDeceasedN/A
MRSA3DeceasedN/A
Coagulase negative Staphylococcus Unkown4N/A
MSSAEradicatedN/A
Vancomycin resistant Staphylococcus, yeast, and Streptococcus Citrobacter  braakii Yes
Staphylococcus pneumoniae Staphylococcus pneumoniae No
MSSA, bacteremia, and Staphylococcus pneumoniae DeceasedN/A
MSSAEnterobacterYes
MSSAMSSANo
Coagulase negative Staphylococcus MRSAYes
MRSA, Streptococcus MRSANo
Coagulase negative Staphylococcus, Acinetobacter, Streptococcus, and Pseudomonas Candida albicans Yes
Coagulase negative Staphylococcus EradicatedN/A
Coagulase negative Staphylococcus, Pseudomonas, Streptococcus, and yeast Culture negativeN/A
MSSAMSSANo
MSSAMSSANo
MSSAMRSAYes
Peptostreptococcus DeceasedN/A
Coagulase negative Staphylococcus EnterobacterYes

Eradicated: a failure due to reoperation where no evidence of recurrent infection was found.
2Methicillin-sensitive Staphylococcus aureus.
3Methicillin-resistant Staphylococcus aureus.
4Unknown: patient underwent rerevision elsewhere.