Advertisement

Reply to “Letter Regarding ‘Risk of Infection in Thumb Carpometacarpal Surgery After Corticosteroid Injection’”

      We thank Patel et al
      • Patel M.I.A.
      • Lane J.C.E.
      • Furniss D.
      Response to “Risk of infection in thumb carpometacarpal surgery after corticosteroid injection.
      for the excellent points raised by them and appreciate the opportunity to respond. It is indeed interesting that although their work found that a preoperative corticosteroid injection is associated with a greater risk of a serious surgical site infection after surgery, the absolute proportion of surgical site infections was several orders of magnitude lower than that in our study. This difference could be attributed to differences in coding. All large national databases are subject to imprecisions in coding, including the database used in our study. As mentioned as a limitation of our study, the International Classification of Diseases, 9th revision, coding system does not allow accurate determination of the severity and depth of wound complication, although it might be assumed that return to the operating room for a wound complication suggests greater severity. Nonetheless, our study and the work of Patel et al
      • Patel M.I.A.
      • Lane J.C.E.
      • Furniss D.
      Response to “Risk of infection in thumb carpometacarpal surgery after corticosteroid injection.
      help to inform the practice of the use of corticosteroid injections prior to surgery for thumb basilar joint arthritis. Ultimately, a prospective study is needed to better understand the risk of infection in patients undergoing thumb carpometacarpal surgery after they are administered a corticosteroid injection.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      Reference

        • Patel M.I.A.
        • Lane J.C.E.
        • Furniss D.
        Response to “Risk of infection in thumb carpometacarpal surgery after corticosteroid injection.
        J Hand Surg Am. 2022; 47: e11

      Linked Article