{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:05:24Z","timestamp":1773597924365,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the rates of reoperation and 90\u2010day perioperative complications between open arthrotomy and arthroscopy for the treatment of septic ankle arthritis using a national all\u2010payer claims database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with a diagnosis of septic ankle arthritis who underwent irrigation and debridement through arthroscopy or arthrotomy were identified in a national data set from 2015\u20102020 through an all\u2010payer claims database. Demographic and comorbidity characteristics including age, sex, infectious etiologies, and Elixhauser comorbidities were obtained. The rate of reoperation, defined as a proxy for failure of initial intervention, was the primary outcome. Secondary outcomes including readmissions, surgical\u2010site infections, amputations, wound complications, and 90\u2010day medical complications were compared between the 2 cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 168 patients undergoing arthroscopy and 794 patients undergoing arthrotomy for septic ankle arthritis were identified. There were no significant differences in reoperation rates between patients who underwent open arthrotomy and those who underwent arthroscopy (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .997). However, the rates of surgical\u2010site infection (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .014) and hospital readmission (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) were significantly higher in the open arthrotomy cohort compared with the arthroscopy cohort.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although there was no significant difference in reoperation rates between arthroscopic and open irrigation and debridement for the treatment of septic ankle arthritis, this study showed significantly higher odds of surgical\u2010site infection and hospital readmission in patients who underwent open arthrotomy when compared with arthroscopy. Case\u2010specific patient and technical considerations should guide the surgical decision\u2010making process to limit secondary complications because this study exemplifies similar reoperation rates between the 2 surgical modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, nonrandomized cohort analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.01.022","type":"journal-article","created":{"date-parts":[[2022,1,30]],"date-time":"2022-01-30T20:54:53Z","timestamp":1643576093000},"page":"1999","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Increased Risk of 90\u2010Day Surgical\u2010Site Infection and Hospital Readmission but Not Reoperation After Open Arthrotomy When Compared With Arthroscopy for Septic Ankle Arthritis"],"prefix":"10.1002","volume":"38","author":[{"given":"Pradip","family":"Ramamurti","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington D.C. U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amil R.","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington D.C. U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington D.C. U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safa C.","family":"Fassihi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington D.C. U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William V.","family":"Probasco","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington D.C. U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Quan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington D.C. U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Savyasachi C.","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Johns Hopkins Department of Orthopaedic Surgery Columbia Maryland U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc D.","family":"Chodos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington D.C. 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