Related Experiment Video

Updated: Jan 27, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

12.4K

Indwelling urinary catheterisation may increase risk of complications in hip and knee arthroplasty

Lars S Bjerregaard1, Morten Homilius, Per Bagi

  • 1lars.stryhn.bjerregaard@regionh.dk.

Danish Medical Journal
|March 27, 2019
PubMed

Insights

Routine urinary catheter use in fast-track hip and knee replacements increases UTI risk and re-catheterization needs. Findings suggest avoiding routine catheterization for these procedures.

Area of Science:

  • Orthopedic Surgery
  • Urology
  • Infectious Disease

Background:

  • Perioperative indwelling urinary catheterization in fast-track hip (THA) and knee (TKA) arthroplasty is debated due to potential complications.
  • The necessity and risks associated with routine catheter use in these patient populations require further investigation.

Purpose of the Study:

  • To determine the incidence of re-catheterization and urologic complications within 30 days following fast-track THA and TKA.
  • To evaluate the impact of routine perioperative urinary catheterization on patient outcomes.

Main Methods:

  • A prospective, observational study involving 795 patients aged 50 years or older undergoing elective fast-track THA or TKA.
  • Patients had indwelling urinary catheters until the first postoperative morning, with follow-up for re-catheterization and complications for 30 days.

Main Results:

  • Only 0.4% of patients retained their catheter post-operatively, and 3.2% required re-catheterization before discharge.
  • The incidence of postoperative urinary tract infections (UTI) was 4.2%, with 30% experiencing worsened lower urinary tract symptoms.

Conclusions:

  • Routine perioperative urinary catheterization in fast-track THA and TKA is associated with an increased risk of postoperative UTIs.
  • The practice does not eliminate the need for re-catheterization and should be reconsidered for routine use.
Abstract

More Related Videos

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

3.8K
In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty07:33

In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty

Published on: May 5, 2023

1.1K

Related Concept Videos

Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
3.1K
Relative Risk01:12

Relative Risk

Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
2.1K
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.1K
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
835
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
770
Increased Body Temperature01:25

Increased Body Temperature

A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
6.5K