Long Term Treatment Results for Deep Infections of Total Knee Arthroplasty.
J Arthroplasty
; 30(9): 1623-8, 2015 Sep.
Article
em En
| MEDLINE
| ID: mdl-25935234
ABSTRACT
This study aims to identify the long-term outcomes of total knee arthroplasty (TKA) treated for deep infection. 3270 consecutive primary and 175 revision TKAs were followed prospectively. There were 39 deep infections (1.16%) 29 primary (0.9%) and 10 revision (5.7%) cases. Two-stage resection and re-implantation procedure was performed in 13 primary cases with 10/13 (77%) successfully resolved. Early (<1 month) Irrigation and Debridement (I&D) was performed in 16 primary cases with 100% success. Late (>4 months) I&D was performed in 6 cases with 5/6 (83.3%) successful. Infection following revision TKA resulted in poor outcomes with both two-stage (2/4 successful) and I&D (2/6 successful). Deep infection after primary TKA can be successfully resolved with I&D and appropriate antibiotic treatment in the early postoperative course.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Reimplante
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Infecções Relacionadas à Prótese
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Artroplastia do Joelho
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Prótese do Joelho
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article