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Treatment of knee prosthesis infections: evaluation of 15 patients over a 5-year period
- Source :
- International Orthopaedics, 33, 1249-54, International Orthopaedics, 33, 5, pp. 1249-54, International Orthopaedics
- Publisher :
- Springer Nature
-
Abstract
- Contains fulltext : 81062.pdf (Publisher’s version ) (Closed access) Our objective was to evaluate different treatment alternatives for total knee arthroplasty (TKA) infection and to compare outcomes depending on adherence to a current treatment algorithm. All patients treated for a first episode of TKA infection between January 2000 and July 2005 were included. Patient records were reviewed and data were extracted retrospectively. Fifteen patients were followed up for a median of 25 months. The cure rate in patients with two-stage exchange of knee prosthesis was higher than in patients who had debridement without implant removal (100 vs 37%, p = 0.03). Cure rates were not different between these two surgical approaches in ten patients who were treated according to a current treatment algorithm. Success rates for treatment of TKA infections varied considerably with the treatment strategy chosen. Our results support the use of existing algorithms to select patients who are eligible for debridement with retention of the prosthesis or need two-stage exchange of knee implants.
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Prosthesis-Related Infections
Knee Joint
Infectious diseases and international health [NCEBP 13]
medicine.medical_treatment
Prosthesis
Hospitals, University
Invasive mycoses and compromised host [N4i 2]
medicine
Humans
Orthopedics and Sports Medicine
Prosthesis-Related Infection
Arthroplasty, Replacement, Knee
Aged
Retrospective Studies
First episode
Aged, 80 and over
Human Movement & Fatigue [NCEBP 10]
Original Paper
business.industry
Retrospective cohort study
Middle Aged
Arthroplasty
Surgery
Anti-Bacterial Agents
Pathogenesis and modulation of inflammation [N4i 1]
Treatment Outcome
Debridement
Debridement (dental)
Orthopedic surgery
Female
business
Knee Prosthesis
Infection and autoimmunity [NCMLS 1]
Algorithms
Subjects
Details
- Language :
- English
- ISSN :
- 03412695
- Volume :
- 33
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- International Orthopaedics
- Accession number :
- edsair.doi.dedup.....59fe0e28e76d677ab3264fd8298ce5ca
- Full Text :
- https://doi.org/10.1007/s00264-008-0638-4