A Vidil1, P Beaufils. 1. Service de Chirurgie Orthopédique et Traumatologique, Hôpital André-Mignot, 177, rue de Versailles, 78157 Le Chesnay Cedex.
Abstract
PURPOSE OF THE STUDY: The purpose of this retrospective study was to assess the contribution of arthroscopic treatment on hematogenous infected total knee arthroplasty. MATERIAL AND METHODS: Five patients were treated for hematogenous infected total knee arthroplasty. All patients had a posterior stabilized prosthesis that had been implanted without any element suggesting primary infection. Delay to infection after arthroplasty was 25 months on the average. Arthroscopic treatment included joint wash-out and synovectomy in combination with prolonged antibiotic therapy. RESULTS: One female patient, treated within 24 hours of the onset of infection, achieved cure without recurrence at 6 months follow-up. One other female patient died. Three patients required revision surgery after failure (two reimplantations in two procedures and one reimplantation in one procedure). DISCUSSION: The gravity of hematogenous infections of total knee arthroplasty is well known. Cure requires insertion of a new implant in three-quarters of the cases. Local arthroscopic treatment is not effective unless performed very early. Beyond this delay, it can at best limit local symptoms.
PURPOSE OF THE STUDY: The purpose of this retrospective study was to assess the contribution of arthroscopic treatment on hematogenous infected total knee arthroplasty. MATERIAL AND METHODS: Five patients were treated for hematogenous infected total knee arthroplasty. All patients had a posterior stabilized prosthesis that had been implanted without any element suggesting primary infection. Delay to infection after arthroplasty was 25 months on the average. Arthroscopic treatment included joint wash-out and synovectomy in combination with prolonged antibiotic therapy. RESULTS: One female patient, treated within 24 hours of the onset of infection, achieved cure without recurrence at 6 months follow-up. One other female patient died. Three patients required revision surgery after failure (two reimplantations in two procedures and one reimplantation in one procedure). DISCUSSION: The gravity of hematogenous infections of total knee arthroplasty is well known. Cure requires insertion of a new implant in three-quarters of the cases. Local arthroscopic treatment is not effective unless performed very early. Beyond this delay, it can at best limit local symptoms.
Authors: Fabricio Roberto Severino; Victor Marques de Oliveira; Ricardo de Paula Leite Cury; Nilson Roberto Severino; Patricia Maria de Moraes Barros Fucs Journal: Int Orthop Date: 2022-01-29 Impact factor: 3.075
Authors: Line Zürcher-Pfund; Ilker Uçkay; Laurence Legout; Axel Gamulin; Pierre Vaudaux; Robin Peter Journal: Int Orthop Date: 2013-05-22 Impact factor: 3.075