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 organism
Organism at failure
New organism at failure
Coagulase negative Staphylococcus
Eradicated1
N/A
MSSA2
Staphylococcus lugdunensis
Yes
Gram + Cocci
Deceased
N/A
MRSA3
Deceased
N/A
Coagulase negative Staphylococcus
Unkown4
N/A
MSSA
Eradicated
N/A
Vancomycin resistant Staphylococcus, yeast, and Streptococcus
Citrobacter braakii
Yes
Staphylococcus pneumoniae
Staphylococcus pneumoniae
No
MSSA, bacteremia, and Staphylococcus pneumoniae
Deceased
N/A
MSSA
Enterobacter
Yes
MSSA
MSSA
No
Coagulase negative Staphylococcus
MRSA
Yes
MRSA, Streptococcus
MRSA
No
Coagulase negative Staphylococcus, Acinetobacter, Streptococcus, and Pseudomonas
Candida albicans
Yes
Coagulase negative Staphylococcus
Eradicated
N/A
Coagulase negative Staphylococcus, Pseudomonas, Streptococcus, and yeast
Culture negative
N/A
MSSA
MSSA
No
MSSA
MSSA
No
MSSA
MRSA
Yes
Peptostreptococcus
Deceased
N/A
Coagulase negative Staphylococcus
Enterobacter
Yes
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.