Abstract
A retrospective review of 178 total temporomandibular joint replacements (TJR) performed
on 106 patients at the University of Alabama at Birmingham during the years 2000–2010
was completed. Data regarding sex, past medical history, prosthesis manufacturer,
microbiology, antibiotic therapy, and the need for additional procedures were obtained
from the medical records of patients who developed a prosthetic joint infection following
TJR. Of the 106 patients, 95 (89.6%) were female and 11 (10.4%) were male. The average
age of the patients was 47 years (range 19–68 years). Sixty patients underwent bilateral
TJR. The average length of follow-up was 41 months. Of the 178 TJR performed, eight
joints (4.5%) developed an infection of the prosthesis, all requiring removal despite
antibiotic therapy. The average time to onset of infection was 14.3 months (range
6 days to 72 months), while the average time to removal of the prosthesis was 26.9
months (range 10 weeks to 84 months). Microbiology data from the infected joints revealed
colonization with coagulase-negative Staphylococcus (4/8 joints) and Propionibacterium (2/8 joints), as well as Serratia and Peptostreptococcus species. Three of the prostheses had negative cultures.
Key words
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Article info
Publication history
Published online: February 01, 2017
Accepted:
January 9,
2017
Identification
Copyright
© 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
