Infection after total knee replacement: diagnosis and treatment.
| Autor: | de Carvalho Júnior LH; Associate Professor in the Department of the Locomotor System, School of Medicine, Universidade Federal de Minas Gerais, Member of the Knee Group, Hospital Madre Teresa, Belo Horizonte, MG, Brazil., Temponi EF; Member of the Knee Group, Hospital Madre Teresa, Belo Horizonte, MG, Brazil., Badet R; Bone Joint Center for Health and Sports, Bourgoin Jallieu, France. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop] 2013 Nov 06; Vol. 48 (5), pp. 389-396. Date of Electronic Publication: 2013 Nov 06 (Print Publication: 2013). |
| DOI: | 10.1016/j.rboe.2013.01.003 |
| Abstrakt: | Infection after total knee replacement (IATJ) is a rare complication. It is associated with increased morbidity and mortality increasing the final costs. Gram positive coccus and Staphylococcus coagulase-negative and Staphylococcus aureus are the most common isolated germs (>50% of the cases). Conditions related to the patient, to the surgical procedure and even to the post op have been identified as risk factors to IATJ. Many complementary methods together with clinical symptoms are useful to a proper diagnosis. Treatment for IATJ must be individualized but generally is a combination of systemic antibiotic therapy and surgical treatment. Prosthesis exchange in one or two stages is the first choice procedure. Debridement with prosthesis retention is an option in acute cases with stable implants and antibiotic sensible germs. |
| Databáze: | MEDLINE |
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