Long Term Treatment Results for Deep Infections of Total Knee Arthroplasty.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 25935234.
- Also identified by DOI 10.1016/j.arth.2015.04.008.
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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.
Medical subject headings
- Arthroplasty, Replacement, Knee
- Knee Prosthesis
- Prosthesis-Related Infections
- Replantation
Anatomy
- knee