Document Detail

The relation between the arthroscopic findings and functional outcomes in patients with septic arthritis of the knee joint, treated with arthroscopic debridement and irrigation.
MedLine Citation:
PMID:  21610307     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The aim of this study was to evaluate the relation between arthroscopic findings and functional outcomes in patients with septic arthritis of the knee joint, treated with arthroscopic debridement and irrigation.
METHODS: Twenty patients (17 male, 3 female; mean age: 31 years [5-63 years]) with knee septic arthritis treated with arthroscopic debridement and irrigation in our clinic between 2004-2007 were included in the study. The decision for arthroscopic debridement was made based on the clinical findings, erythrocyte sedimentation rate, C-reactive protein level and the aspiration of the affected knee. During the arthroscopic debridement, the joint was staged according to Gachter criteria. Continuous irrigation system was set up for all cases following surgery. After the surgery, the Bussiere functional scale was used for clinical evaluation. The mean follow-up periodwas 29±11months (range 13-54 months). The McNemar test was used in comparing the results. The Spearman correlation coefficient was used in the correlation analysis. The level of significance was set at 0.05.
RESULTS: The culture was positive in 3 cases, and negative in 8 cases who exhibited gram (+) cocci in gram stains. In nine cases, cultures were negative and no microorganisms were detected in gram stains. According to the arthroscopic Gachter classification, 4 cases (20%) were Stage 1, 10 cases (50%) were Stage 2, 5 cases (25%) Stage 3 and 1 case (5%) was Stage 4. There was a statistically significant difference between the mean functional score of the knees with differing Gachter stages (McNemar test, p=0.003). There was a statistically significant and strong correlation between Gachter score and functional results (correlation coefficient: 0.780; p<0.001).
CONCLUSION: Advanced arthroscopic findings are associated with poor functional results in patients with septic arthritis of the knee joint. In addition, the time between the initial symptoms and the surgery directly affects the functional results.
Ibrahim Yanmış; Hüseyin Ozkan; Kenan Koca; Volkan Kılınçoğlu; Doğan Bek; Servet Tunay
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta orthopaedica et traumatologica turcica     Volume:  45     ISSN:  1017-995X     ISO Abbreviation:  Acta Orthop Traumatol Turc     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-25     Completed Date:  2011-11-29     Revised Date:  2012-03-21    
Medline Journal Info:
Nlm Unique ID:  9424806     Medline TA:  Acta Orthop Traumatol Turc     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  94-9     Citation Subset:  IM    
Department of Orthopedics and Traumatology, GATA, Ankara, Turkey.
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MeSH Terms
Arthritis, Infectious / diagnosis*,  physiopathology,  therapy
Arthroscopy / methods*
Child, Preschool
Debridement / methods*
Follow-Up Studies
Injections, Intra-Articular
Isotonic Solutions / administration & dosage*,  therapeutic use
Knee Joint*
Middle Aged
Pseudomonas Infections / diagnosis,  physiopathology,  therapy
Pseudomonas aeruginosa / isolation & purification
Range of Motion, Articular / physiology*
Retrospective Studies
Staphylococcal Infections / diagnosis,  physiopathology,  therapy
Staphylococcus aureus / isolation & purification
Therapeutic Irrigation / methods*
Treatment Outcome
Young Adult
Reg. No./Substance:
0/Isotonic Solutions; 8022-63-7/Ringer's lactate

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