Efficacy of Open Debridement and Polyethylene Exchange in Strictly Selected Patients with Infection after Total Knee Arthroplasty

손휘성; 손욱진; 이동철; 박상진; 양한석

Efficacy of Open Debridement and Polyethylene Exchange in Strictly Selected Patients with Infection after Total Knee Arthroplasty

Recommendations

Search

Type: Academic journal

Author: 손휘성 손욱진 이동철 박상진 양한석

Journal: 대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제29권 제3호 KCI Accredited Journals

Published: 2017.1

Pages: 172 - 179 (8page)

Usage

Efficacy of Open Debridement and Polyethylene Exchange in Strictly Selected Patients with Infection after Total Knee Arthroplasty

Abstract· Keywords

Report Errors

Purpose: To assess the efficacy of open debridement and polyethylene exchange (ODPE) combined with proper antibiotic therapy in strictly selected patients with infection after total knee arthroplasty (TKA) and analyze factors associated with treatment failure.Materials and Methods: From January 2010 to January 2014, 25 cases that underwent ODPE under the diagnosis of infection within four weeks after TKA or acute hematogenous infection within five days of symptom onset were reviewed in this study. Results: Treatment was successful in 22 out of 25 cases (88.0%). Factors associated with failure were accompanying infection (periprosthetic infection in the ipsilateral foot, cervical parotid abscess, and masticator space abscess) and diagnosis of rheumatoid arthritis (RA) before TKA. Resistant bacteria did not entail a risk. On clinical results, the mean postoperative Lysholm score and Korean Knee score were 81.4 and 79.4, respectively, the knee range of motion was 115.4°±12.9°, and duration of hospitalization was 32.3±8.4 days. On radiographic results, 3.47±1.56 mm joint line elevation and a valgus change of 0.61°±2.35° in knee alignment were observed.Conclusions: ODPE combined with appropriate antibiotics therapy could be a useful treatment method for infection after TKA if the procedure is performed within a symptom duration of five days or less in the absence of accompanying infection in patients whose indication for TKA was not RA.

#Knee #Arthroplasty #Infection #Debridement

No content found

References (23)

Add References

[학술

Bandyk DF / 1993 / Treatment of bacteria-biofilm graft infection by in situ replacement in normal and immune-deficient states / J Vasc Surg 18 : 398 ~ 405

Buret A / 1991 / An in vivo model to study the pathobiology of infectious biofilms on biomaterial surfaces / J Biomed Mater Res 25 : 865 ~ 874

Classen T / 2009 / Modification of the method of Figgie for determination of joint line shifting in total knee arthroplasty / Radiologe 49 : 533 ~ 537

Cobo J / 2011 / Early prosthetic joint infection : outcomes with debridement and implant retention followed by antibiotic therapy / Clin Microbiol Infect 17 : 1632 ~ 1637

Recommendations

It is an article recommended by DBpia according to the article similarity. Check out the related articles!