TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Ortopédica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000500239 |
Resumo: | Objectives:To identify and compare the rate of success of therapeutic modalities applied in surgeries for the treatment of infections associated with total knee arthroplasty (TKA), and to evaluate the functional outcome and pain in different therapeutic modalities by means of quality of life scores.Methods:We evaluated all patients who developed periprosthetic infection after TKA for primary or secondary osteoarthritis, in the period from January 1st, 2008 to December 31st, 2010.Results:In the study period, 29 patients with TKA had infection, and 12 of these underwent debridement and retention of the prosthesis (D+R), seven received two-stage and six one-stage exchange arthroplasties, and four patients were treated with suppressive antibiotic therapy because they could not undergo another surgical procedure.Conclusion:The D+R, one-stage revision and two-stage revision success rates were 75%, 83.3%, and 100%, respectively. The best results of quality of life (QoL) and function occur in patients undergoing D+R. In contrast, the worst QoL and functional results were obtained in patients treated with two-stage revision arthroplasty. Level of Evidence II, Prognostic Studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease. |
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TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTYArthroplastyInfectionProsthesis retentionProsthesis-related infectionsKnee prosthesisObjectives:To identify and compare the rate of success of therapeutic modalities applied in surgeries for the treatment of infections associated with total knee arthroplasty (TKA), and to evaluate the functional outcome and pain in different therapeutic modalities by means of quality of life scores.Methods:We evaluated all patients who developed periprosthetic infection after TKA for primary or secondary osteoarthritis, in the period from January 1st, 2008 to December 31st, 2010.Results:In the study period, 29 patients with TKA had infection, and 12 of these underwent debridement and retention of the prosthesis (D+R), seven received two-stage and six one-stage exchange arthroplasties, and four patients were treated with suppressive antibiotic therapy because they could not undergo another surgical procedure.Conclusion:The D+R, one-stage revision and two-stage revision success rates were 75%, 83.3%, and 100%, respectively. The best results of quality of life (QoL) and function occur in patients undergoing D+R. In contrast, the worst QoL and functional results were obtained in patients treated with two-stage revision arthroplasty. Level of Evidence II, Prognostic Studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.ATHA EDITORA2015-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000500239Acta Ortopédica Brasileira v.23 n.5 2015reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-785220152305138774info:eu-repo/semantics/openAccessCury,Ricardo de Paula LeiteCinagawa,Eduardo Hitoshi TsugeCamargo,Osmar Pedro ArbixHonda,Emerson KiyoshiKlautau,Giselle BurlamaquiSalles,Mauro José Costaeng2015-10-15T00:00:00Zoai:scielo:S1413-78522015000500239Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2015-10-15T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY |
title |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY |
spellingShingle |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY Cury,Ricardo de Paula Leite Arthroplasty Infection Prosthesis retention Prosthesis-related infections Knee prosthesis |
title_short |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY |
title_full |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY |
title_fullStr |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY |
title_full_unstemmed |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY |
title_sort |
TREATMENT OF INFECTION AFTER TOTAL KNEE ARTHROPLASTY |
author |
Cury,Ricardo de Paula Leite |
author_facet |
Cury,Ricardo de Paula Leite Cinagawa,Eduardo Hitoshi Tsuge Camargo,Osmar Pedro Arbix Honda,Emerson Kiyoshi Klautau,Giselle Burlamaqui Salles,Mauro José Costa |
author_role |
author |
author2 |
Cinagawa,Eduardo Hitoshi Tsuge Camargo,Osmar Pedro Arbix Honda,Emerson Kiyoshi Klautau,Giselle Burlamaqui Salles,Mauro José Costa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Cury,Ricardo de Paula Leite Cinagawa,Eduardo Hitoshi Tsuge Camargo,Osmar Pedro Arbix Honda,Emerson Kiyoshi Klautau,Giselle Burlamaqui Salles,Mauro José Costa |
dc.subject.por.fl_str_mv |
Arthroplasty Infection Prosthesis retention Prosthesis-related infections Knee prosthesis |
topic |
Arthroplasty Infection Prosthesis retention Prosthesis-related infections Knee prosthesis |
description |
Objectives:To identify and compare the rate of success of therapeutic modalities applied in surgeries for the treatment of infections associated with total knee arthroplasty (TKA), and to evaluate the functional outcome and pain in different therapeutic modalities by means of quality of life scores.Methods:We evaluated all patients who developed periprosthetic infection after TKA for primary or secondary osteoarthritis, in the period from January 1st, 2008 to December 31st, 2010.Results:In the study period, 29 patients with TKA had infection, and 12 of these underwent debridement and retention of the prosthesis (D+R), seven received two-stage and six one-stage exchange arthroplasties, and four patients were treated with suppressive antibiotic therapy because they could not undergo another surgical procedure.Conclusion:The D+R, one-stage revision and two-stage revision success rates were 75%, 83.3%, and 100%, respectively. The best results of quality of life (QoL) and function occur in patients undergoing D+R. In contrast, the worst QoL and functional results were obtained in patients treated with two-stage revision arthroplasty. Level of Evidence II, Prognostic Studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000500239 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000500239 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-785220152305138774 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ATHA EDITORA |
publisher.none.fl_str_mv |
ATHA EDITORA |
dc.source.none.fl_str_mv |
Acta Ortopédica Brasileira v.23 n.5 2015 reponame:Acta Ortopédica Brasileira (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Acta Ortopédica Brasileira (Online) |
collection |
Acta Ortopédica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
1atha@uol.com.br||actaortopedicabrasileira@uol.com.br |
_version_ |
1752122275175333888 |