Mid-Term results of knee prosthesis infections

Mid-Term results of knee prosthesis infections

The aim of this study was to retrospectively evaluate patients with infected total knee prosthesis and to discuss the results in the light of the relevant literature. Infection in total knee prosthesis, a severe complication that can occur despite all precautions, requires vigilance before, during, and after surgery and highly structured patient management. In our study, we compared and evaluated the clinical, radiological, and laboratory results of debridement, revision, and arthrodesis provided to patients who developed infection after total knee arthroplasty between June 2000 and January 2005 in the Ministry of Health Ankara Diskapi Training and Research Hospital. Although 44 such patients were identified from the records in that 5-year period, some could not be contacted, and some had not completed treatment, which left the 32 knees of 32 patients eligible for analysis. Of them, 24 had undergone revision surgery, four had undergone debridement, and four had undergone arthrodesis. Infection in total knee prosthesis is a severe complication that requires very close follow-up before, during and after surgery. The development of infection despite all precautions requires correct patient management.

___

  • 1. Hebart Ck, Williams RE, Levy RS, et al. Cost of treating an infected total knee replacement. Clin Orthop. 1996;331;140.
  • 2. Pellegrini VD Jr. Management of the patient with an infected knee arthroplasty. AAOS Instr Course Lect. 1997;46;215.
  • 3. Speller PCE. Microbiology of infected joint prosthesis. Seminars in Orthop. 1986;1;1.
  • 4. Windsor RE, Insall JN. Management of the infected TKA. Insall JN (ed). Surgery of the knee. Second edition. New York, Churchill Livingstone Inc. 1993;959.
  • 5. Thornhill TS. Total knee infection. Collaghan JJ (ed). Orthopaedic knowledge update, hip and knee reconstruction. Rosement American Academy of Orthopaedic Surgeons Vol.1995; 44;297.
  • 6. Bonnister GC. Infections in hip and knee prosthesis current opinion. In Orthop. 1991;2;65.
  • 7. Bengtsan S. Blamgren G, Knutson K et al. Hematagenous infection after knee arthroplasty. Acta Orthop Scand. 1987;58;529.
  • 8. Mcdonald DA. The infected joint replacement; prevention, diagnosis and treatment. Current Orthop. 1995;9;21.
  • 9. Johnson DP. Infection after knee arthroplasty. Acta Orthop Scan. 1993;(Suppl 252);1.
  • 10. Austin KS, Testa N, L untz RK et al. Aspergillus infection of total knee arthroplasty present in as a popliteal cyst. J Arthroplasty. 1992;7;311.
  • 11. Guian TL, Sculco TP. Pasteurella multocida infection in total knee arthroplasty. J Arthroplasty. 1992;7;157.
  • 12. Choudrhry RR, Rice RPO, Triffitt PD et al. Plasma viscosity and C-Reaktif Protein after total hip and knee arthroplasty. JBJS-Br 1992;74-B;523-4.
  • 13. Rand JA. Supracondylar fracture of the femur associated with polyethylene wear after total knee arthroplasty. J Bone Joint Surg. 1994;76-A;1389.
  • 14. Schneider R, Saudry M. Radiographic and scintigraphic evaluation of total knee arthroplasty. Clin Orthop. 1986;205;108.
  • 15. Demirkol O. The role of Technetium 99m polyclonal Ig G scintigraphy in detecting hip and knee prosthesis infections. Specialization Thesis Istanbul Tip Faculty of Nuclear Medicine,1995.
  • 16. Backe HA, Wolff DA, Windsor RE. Total knee replacement after 2 stage reimplantation. Results of subsequent 2 stage reimplantation. Clin Orthop. 1996;331;125.
  • 17. Goldman RT, Scuderi GR, Insall JN. 2 stage reimplantation for infected total knee replacement. Clin Orthop. 1996;331;118.
  • 18. Goksan SB, Freeman MA. One stage reimplantation for infected total knee arthroplasty. J Bone Joint Surg. 1992;74-4;78.
  • 19. Scott RD, Turoff N, Ewald FC. Stress fracture of the patella following duopatellar total knee arthroplasty with patellar resurfacing. Clin Orthop. 1982;170;147.
  • 20. Stern SH, Singer LB, Weissman SE. Analysis of hospital cost in total knee arthroplasty. Clin Orthop. 1995;321;36.
  • 21. Sevimli R, Aslanturk O, Ertem K, et al. An investigation of infection rate and seasonal effect level in total joint replacement cases. Med Sci. 2018;7;210-3
  • 22. A.W Blom, Brown J, Taylor A.H, et al. Infection after total knee arthroplasty. J Boe Joint Surg (Br). 2004;86;688-91. . The Jurnal of Bone and Joint Surg 1990;72-A; 878-83.
  • 24. Duman Y, Sevimli R. Investigation of the presence of pantone-valentine leukocidin in Staphylococcus aureus strains isolated from orthopedic surgical site infections. Mikrobiyol Bul. 2018 52:340-7.
  • 25. Hanssen AD, Rand JA, Osmon DR. Treatment of infected total knee arthroplasty with insertion of another prosthesis. Clin Orthop. 1994;309; 44.
  • 26. Windsor RE, Insall JN, Urs WK, et al. Two stage reimplantation for the salvage total knee arthroplasty complicated by infection. JBJS 1990;72-A.
  • 27. Woff LH, Rorvizi J, Trausdale RT, et al. Results of treatment of infection in both knees after bilateral total knee arthroplasty. JBJS 2003;85.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Post-Covid pain frequency and affecting factors

Bora TETİK, Gulsum Hilal DEMİ R, Osman KURT, Serdar DERYA

Mid-Term results of knee prosthesis infections

Deniz Ipek, Fatih Pestilci, Fatih Duygun, Ebru Kandırali Duygun, FIRAT SEYFETTINOGLU

Do cytokines play role in the pathogenesis of mucopolysaccharidosis

Gursel Biberoglu, Asli Inci, Ilyas Okur, Leyla Tumer, Fatih Suheyl Ezgu, Canan Demirtas

Bilateral ossified subdural hematoma: Literature review

Nermin Tanik, Sevilay Vural, Hakan Ak, Ihsan Canbek

Pharmacological and biological features of ethanol extract of Salvia virgata Jacq.

Merve Ergul, Nuraniye Eruygur, Tansu Uskutoglu, Esra Uçar, Mehmet Atas, Belgin COŞGE ŞENKAL, Halil BAL

Ensemble learning-based prediction of COVID-19 positive patient groups determined by IL-6 levels and control individuals based on the proteomics data

Adem Doganer, Seyma Yasar, Zeynep Kucukakcali

The suicidal deaths in Isparta: A 10-year retrospective autopsy study

Abdulkadir Yildiz, İBRAHİM EROĞLU, Erdinc Cayli, Özge Savcı

Evaluation of depression, self-esteem and hopelessness in patients admitted to psychiatry outpatient clinic in geriatric population during COVID-19 outbreak

Sevler YILDIZ, Aslı KAZĞAN, Osman KURT, Kerim UĞUR

Evaluation of cerebral microbleeds in patients using rivaroxaban for cardioembolism prophylaxis in non-valvular atrial fibrillation

Ali Haydar Baykan, Sukru Sahin, Ali Zeynel Abidin TAK

Eating disorders and related factors of individuals who applied to the diet outpatient clinic of Turgut Ozal Medical Center

Erkan Pehlivan, Nurgul Kilic