Arthroscopy versus arthrotomy for the treatment of septic knee arthritis.

Autor: Johnson DJ; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA., Butler BA; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA., Hartwell MJ; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA., Fernandez CE; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA., Nicolay RW; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA., Selley RS; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA., Terry MA; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA., Tjong VK; Northwestern University Feinberg School of Medicine, Department of Orthopedic Surgery, USA.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2019 Nov 27; Vol. 19, pp. 46-49. Date of Electronic Publication: 2019 Nov 27 (Print Publication: 2020).
DOI: 10.1016/j.jor.2019.11.031
Abstrakt: Purpose: To compare complications following arthroscopy and arthrotomy for treatment of septic knee arthritis.
Methods: Patients undergoing arthroscopy and arthrotomy for a diagnosis of septic knee arthritis were identified in National Surgical Quality Improvement Program and placed in a multivariate analysis to determine if type of surgery contributed to postoperative complications.
Results: Knee arthrotomy was associated with an increased risk for increased operative time [Parameter estimate 4.555 (95% CI:3.023-6.085); p < 0.0001], minor morbid events [OR 2.064 (95% CI: 1.447-2.943); p < 0.0001], and any morbidity [OR 2.285 (95% CI:1.527-3.419); p < 0.0001].
Conclusions: Knee arthrotomy was associated with a higher risk of complications.
Competing Interests: All authors declare no conflicts of interest.
(© 2019 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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