TOLGA ATAY, Metin Lütfi BAYDAR, NURETTİN HEYBELİ, VECİHİ KIRDEMİR

Total artroplasti uygulanan dizde brusella protez enfeksiyonu: Artroskopi ve medikal tedavi ile protezi korunan bir olgu sunumu

Enfeksiyon, total diz protezi uygulamalarının önemli bir komplikasyonudur ve ciddi bir morbiditeye sahiptir. Çalışmamızda çimentolu total diz protezi uygulanmasından dört yıl sonra ortaya çıkan brusella enfeksiyonu olgusu tanımladık. Literatürde, öncesinde eksizyonel artroplasti uygulanan yada uygulanmayan durumlar için antimikrobiyal kemoterapi stratejileri belirtilmiştir. Biz ise sunulan olguda artroskopi ve debridman ile sinoviektomi sonrası eksizyonel artroplasti yapmaksızın doksisiklin ve rifampisin kombinasyonu ile tedaviye başladık. Bu tedavi planı ile hastanın yaşam kalitesini etkileyecek majör bir cerrahi uygulamadan tedavi alternatifi oluşturulabilir.

Anahtar Kelimeler:

Artroplasti, Artroplasti, replasman, diz, Erkek, Yaşlı, Brucella, Proteze bağlı enfeksiyonlar, Enfeksiyon

Brucellar prosthetic infection after total knee arthroplasty: A case with retained prosthesis by arthroscopic and medical treatment

Infection after total knee arthroplasty is a severe complication and is associated with high morbidity. We describe a case of a brucellosis infection of the knee joint, four years after cemented total knee prosthesis application. Treatment strategies of antimicrobial chemotherapy with or without initial excisional arthroplasty are recommended in the literature. After diagnostic arthroscopy and wash-out with synovectomy, we initiated doxycycline and rifampicin combination therapy without an initial excisional arthroplasty, in this case. This treatment strategy can be another option before performing a major surgery which may affect the patient's quality of life.

Keywords:

Arthroplasty, Arthroplasty, Replacement, Knee, Male, Aged, Brucella, Prosthesis-Related Infections, Infection,

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