Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/63043
Title: Acute Infection in Total Knee Arthroplasty: Diagnosis and Treatment
Author: Martínez Pastor, Juan Carlos
Maculé Beneyto, Francisco
Suso Vergara, Santiago
Keywords: Artroplàstia
Infeccions quirúrgiques
Genoll
Arthroplasty
Surgical wound infection
Knee
Issue Date: 14-Jun-2013
Abstract: Infection is one of the most serious complications after total knee arthroplasty (TKA). The current incidence of prosthetic knee infection is 1-3%, depending on the series(.) For treatment and control to be more cost effective, multidisciplinary groups made up of professionals from different specialities who can work together to eradicate these kinds of infections need to be assembled. About the microbiology, Staphylococcus aureus and coagulase-negative staphylococcus were among the most frequent microorganisms involved (74%). Anamnesis and clinical examination are of primary importance in order to determine whether the problem may point to a possible acute septic complication. The first diagnosis may then be supported by increased CRP and ESR levels. The surgical treatment for a chronic prosthetic knee infection has been perfectly defined and standardized, and consists in a two-stage implant revision process. In contrast, the treatment for acute prosthetic knee infection is currently under debate. Considering the different surgical techniques that already exist, surgical debridement with conservation of the prosthesis and polythene revision appears to be an attractive option for both surgeon and patient, as it is less aggressive than the two-stage revision process and has lower initial costs. The different results obtained from this technique, along with prognosis factors and conclusions to keep in mind when it is indicated for an acute prosthetic infection, whether post-operative or haematogenous, will be analysed by the authors.
Note: http://dx.doi.org/10.2174/1874325001307010197
It is part of: The Open Orthopaedics Journal, 2013, vol. 7, num. Suppl.2, p. 197-204
Related resource: http://dx.doi.org/10.2174/1874325001307010197
URI: http://hdl.handle.net/2445/63043
ISSN: 1874-3250
Appears in Collections:Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)

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