Treatment of Infected Total Knee Arthroplasty
Journal of the Korean Knee Society
;
: 141-146, 2010.
Article
in Korean
| WPRIM
| ID: wpr-730603
ABSTRACT
Deep infection after total knee arthroplasty (TKA) represents a significant treatment challenge with the possibility of disastrous consequences. The rate of deep infection rate after TKA was reported to be 1.3~2.9% in the past. With the improvements of the operation environment and operative technique and the use of prophylactic antibiotics and antibiotic-mixed bone cement, the rate of deep infection was recently reported to be 0.5~1%. The goal of treatment of a periprosthetic TKA infection is the restoration of a painless, well-functioning joint, with eradication of the infection. Yet the outcome is not always favorable, and the end result could be an arthrodesis, amputation or a pseudoarthrodesis. In some instance, the only realistic option is to suppress the infection with continued oral antibiotics while simultaneously retaining the prosthesis. Two-stage resection arthroplasty remains the standard treatment for chronic periprosthetic infection. Early deep infection may be treated with aggressive debridement and intravenous antibiotics without removal of the implant. Two-stage reimplantation after removal of the implant is most important for the treatment of chronic infection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthrodesis
/
Arthroplasty
/
Prostheses and Implants
/
Replantation
/
Debridement
/
Amputation, Surgical
/
Joints
/
Knee
/
Anti-Bacterial Agents
Language:
Korean
Journal:
Journal of the Korean Knee Society
Year:
2010
Type:
Article
Similar
MEDLINE
...
LILACS
LIS