Infection after total knee replacement: diagnosis and treatment

Júnior, Lúcio Honório de Carvalho; Temponi, Eduardo Frois; Badet, R.

doi:10.1016/j.rboe.2013.01.003

Cited by 11 publications

(11 citation statements)

References 62 publications

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“…From the assessment and the clinical history, it can be defined whether the patient has high or low likelihood of infection, which is important for the subsequent propaedeutics. 12 In our questionnaire we might have failed to detect patients with latent infection which developed beneath well-healed wounds leading to a poor outcome. Lesions infection treated with the help of clinical signs understanding and wound swabs from all revision cases would have participated in the question.…”

Section: Discussionmentioning

confidence: 99%

Assessments of infection after total knee replacement with three years follow up period

Rudani¹,

Kotak²

2017

Int J Res Orthop

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Background: Knee replacement surgery also known as knee arthroplasty can help relieve pain and restore function in severely diseased knee joints. The aim of the study was designed to determine the current incidence and outcome of infected total knee arthroplasty (TKA) in our unit. Methods: Present study was performed at department of orthopedics, Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat. Questionnaire was designed as per our needs and we explained the study to all the individuals who had undergone knee replacement surgery in three years. In the questioner the patient were asked whether they had any suspicion of infection in the joint or wound after the knee surgery. If there reply was found to be affirmative than next they were asked if they had any reddened wound area, any inflammation area, readmission to the hospital due to infection, pus discharge from the wound, any further debridment or resurgery was planned for their infection and whether they were asked to take antibiotics to rule out infection. Results: Infection was identified in 20 patients of the study. All the cases underwent culture media for detection of microorganisms. Staphylococcus and E. coli were identified in majority of the cases. Six patients had undergone revision of their primary TKA for deep infection; four were having a two-stage revision with no sign of residual infection at the latest review; the oxford knee score when calculated were found to be 35, 38, 45, 48 respectively. Conclusions: During this study period, infection after primary TKA was rare but devastating and invariably led to a poor outcome.

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Section: Discussionmentioning

confidence: 99%

Assessments of infection after total knee replacement with three years follow up period

Rudani¹,

Kotak²

2017

Int J Res Orthop

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“…Projections suggest that approximately 3.5 million knee arthroplasties will be performed in the United States in 2030 16 . Despite being a safe surgery, infection is a potentially devastating complication, ranging between 0.4% and 2% of patients 17 . Diagnosis in the acute phase allows treatment with debridement, implant retention, and antibiotic therapy; 1 the success rates can be as high as 36%, 18 as long as the treatment is initiated before the third week 1 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of serum levels of C-reactive protein after total knee arthroplasty

Barretto

Loures

Albuquerque

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the behavior of C-reactive protein (CRP) levels in the first three weeks after total knee arthroplasty (TKA) and define the factors related to its variation.MethodsWe evaluated the CRP values in 103 patients undergoing primary TKA. Serum CRP was measured on the day before surgery, and on the third and twenty-first days after the procedure.ResultsPCR showed sudden increase on the third day after surgery, reaching the mean value of 111.9 mg/L, median 75.9 mg/L. Only one-third of the patients returned to normal levels in the third week. In the immediate postoperative period, CRP was not correlated with body mass index (BMI), age, gender, blood transfusion, or complications.ConclusionSerum CRP remains high in the third week after TKA in most patients, and this change is primarily related to surgical trauma.

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“…PJI after TKA primarily presents as symptoms and signs of infection (6)(7)(10)(11). These include pain in the affected knee joint, swelling, erythema, effusion, signs of inflammation, and persistent drainage after TKA.…”

Section: Diagnosismentioning

confidence: 99%

“…Numerous treatment options are available for the management of PJI, but revision surgery is regarded as the best method of treatment (6)(7)(10)(11). Revision can be performed either in one or two stages.…”

Section: Diagnosismentioning

confidence: 99%