NDLI: Clinical effects of staged joint replacement in patients with septic arthritic knee

Content Provider	Springer Nature : BioMed Central
Author	Ni, Ming Fu, Jun Deng, Tao Niu, Erlong Xu, Chi Li, Xiang Chai, Wei Zhang, Guoqiang Chen, Jiying
Abstract	Objective To assess the clinical effect of staged joint replacement for the treatment of septic arthritic knee and the therapeutic differences between antibiotic cement beads and the tibial plateau spacer. Methods Twenty-three patients (24 knee joints) treated with a staged joint replacement for septic arthritis knee were retrospectively reviewed between March 2014 and April 2018. At the first stage, thorough debridement and irrigation with self-made antibiotic cement beads or tibial plateau spacer were performed. After that, systemic antibiotic treatment was followed; when the infection was surely eliminated, the second-stage TKA was performed. Knee mobility (range of motion, abbreviated to ROM) and function (HSS scores system) were evaluated before surgery, in the interval period, and after joint replacement. Results All patients finished follow-up, and the mean follow-up time was 27.3 months (12–54 months). Each group has one patient replaced with a homotypic spacer, and all patients eventually cleared the infection. None of the patients had a recurrent infection. The mobility and HSS scores of the two groups were significantly improved postoperation (p < 0.05). And there was no significant difference in the post-surgery ROM (p = 0.153) and the HSS score (p = 0.054) between the two groups. Conclusion Staged joint replacement is an efficacious way for septic arthritic knees, whether tibial plateau spacer or antibiotic cement beads were used, which can effectively control infection and improve knee function.
Related Links	https://josr-online.biomedcentral.com/counter/pdf/10.1186/s13018-020-02062-1.pdf
Ending Page	7
Page Count	7
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/s13018-020-02062-1
Journal	Journal of Orthopaedic Surgery and Research
Issue Number	1
Volume Number	15
Language	English
Publisher	BioMed Central
Publisher Date	2020-11-11
Access Restriction	Open
Subject Keyword	Orthopedics Surgical Orthopedics Knee Septic arthritis Spacer Two-staged joint replacement
Content Type	Text
Resource Type	Article
Subject	Surgery Orthopedics and Sports Medicine
Journal Impact Factor	2.8/2023
5-Year Journal Impact Factor	3/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Two-stage Total Knee Arthroplasty for Treatment of Surgical Failure of Septic Arthritis in Degenerative Knee Joints.

Surgical treatment for septic arthritis of the knee joint in elderly patients: a 10-year retrospective clinical study.

Clinical outcomes and survivorship of two-stage total hip or knee arthroplasty in septic arthritis: a retrospective analysis with a minimum five-year follow-up.

Lower limb joint replacement in rheumatoid arthritis

Total joint replacement for neglected posterior knee dislocation following septic arthritis after arthroscopy

Surgical management of sternoclavicular septic arthritis

Total knee arthroplasty in patients with juvenile idiopathic arthritis.

Septic arthritis in patients with rheumatoid arthritis

Managing of post-traumatic knee arthritis by total knee arthroplasty: case series of 15 patients and literature review

Clinical effects of staged joint replacement in patients with septic arthritic knee

Similar Documents

Two-stage Total Knee Arthroplasty for Treatment of Surgical Failure of Septic Arthritis in Degenerative Knee Joints.

Surgical treatment for septic arthritis of the knee joint in elderly patients: a 10-year retrospective clinical study.

Clinical outcomes and survivorship of two-stage total hip or knee arthroplasty in septic arthritis: a retrospective analysis with a minimum five-year follow-up.

Lower limb joint replacement in rheumatoid arthritis

Total joint replacement for neglected posterior knee dislocation following septic arthritis after arthroscopy

Surgical management of sternoclavicular septic arthritis

Total knee arthroplasty in patients with juvenile idiopathic arthritis.

Septic arthritis in patients with rheumatoid arthritis

Managing of post-traumatic knee arthritis by total knee arthroplasty: case series of 15 patients and literature review

Clinical effects of staged joint replacement in patients with septic arthritic knee