Document Detail


Multiple irrigation, debridement, and retention of components in infected total knee arthroplasty.
MedLine Citation:
PMID:  9195319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of 24 infected total knee arthroplasties (22 patients) that were treated by irrigation, debridement, and retention of the prosthetic components were prospectively studied. Strict criteria were used for the selection of this method of treatment. Patients had to be less than 30 days after index arthroplasty (postsurgical group) or had to have less than 30 days of knee symptoms (hematogenous group). In addition, there had to be no radiographic signs of osteitis or evidence of a loose prosthetic component. Patients had one to three irrigation and debridement procedures depending on systemic signs, knee symptoms, or the results of knee aspirations. All of the immediate postsurgical infections (10 knees) and 10 of the 14 (71%) late hematogenously infected knees retained the prosthesis without further evidence of infection at the final follow-up visit at 48 months (range, 24-140 months). This study shows that in selected circumstances, irrigation, debridement, and retention of the components can result in low morbidity with high success rates.
Authors:
M A Mont; B Waldman; C Banerjee; I H Pacheco; D S Hungerford
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  12     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-08-11     Completed Date:  1997-08-11     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  426-33     Citation Subset:  IM    
Affiliation:
Orthopaedic Department, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anti-Bacterial Agents
Bacteria / isolation & purification
Bacterial Infections / microbiology,  therapy
Combined Modality Therapy
Debridement / methods*
Drug Therapy, Combination / administration & dosage,  therapeutic use
Female
Follow-Up Studies
Humans
Infusions, Intravenous
Irrigation / methods*
Knee Joint / microbiology
Knee Prosthesis / adverse effects*
Male
Middle Aged
Prospective Studies
Prosthesis Failure
Reoperation
Surgical Wound Infection / microbiology,  radiography,  therapy*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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