Clinical outcome after treatment of infected primary total knee arthroplasty.
Research output: Contribution to journal › Journal article › Research
Twenty-six consecutive cases of infected primary total knee arthroplasties were treated at our institution from 1989 through 2000. Eleven patients had debridement and irrigation performed within 2 months of index arthroplasty or hematogenous spread; only one infection was eradicated. Twenty-five patients had their prostheses removed; 17 had two-stage revision arthroplasty, following which infection was eradicated in 15; one had a permanent spacer, 7 had arthrodesis (following failed revision arthroplasty in one) and 2 had a femur amputation (following failed revision arthroplasty in one) at follow-up of mean 24 months. Infections were cured equally well with revision arthroplasty and arthrodesis. Among the 15 patients who ended up with revision arthroplasty, 11 had a better range of motion compared to the index arthroplasty, but 8 had daily pain. We present our treatment protocol, which eradicated 15/17 (88%) infections in patients treated with two-stage revision arthroplasty.
Translated title of the contribution | Clinical outcome after treatment of infected primary total knee arthroplasty. |
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Original language | English |
Journal | Acta Orthopaedica Belgica |
Volume | 68 |
Issue number | 5 |
Pages (from-to) | 500-507 |
Number of pages | 8 |
ISSN | 1784-407X |
Publication status | Published - 2002 |
ID: 34101089