Infection after total knee replacement: diagnosis and treatment
Infection after total knee replacement (IATJ) is a rare complication. It is associated with increased morbidity and mortality increasing the final costs. Gram positive coccus and Staphylococcus coagulase-negative and Staphylococcus aureus are the most common isolated germs (>50% of the cases). Co...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2013-09-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000500389&lng=en&tlng=en |
| _version_ | 1797334782041915392 |
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| author | Lucio Honorio de Carvalho Junior Eduardo Frois Temponi Roger Badet |
| author_facet | Lucio Honorio de Carvalho Junior Eduardo Frois Temponi Roger Badet |
| author_sort | Lucio Honorio de Carvalho Junior |
| collection | DOAJ |
| description | Infection after total knee replacement (IATJ) is a rare complication. It is associated with increased morbidity and mortality increasing the final costs. Gram positive coccus and Staphylococcus coagulase-negative and Staphylococcus aureus are the most common isolated germs (>50% of the cases). Conditions related to the patient, to the surgical procedure and even to the post op have been identified as risk factors to IATJ. Many complementary methods together with clinical symptoms are useful to a proper diagnosis. Treatment for IATJ must be individualized but generally is a combination of systemic antibiotic therapy and surgical treatment. Prosthesis exchange in one or two stages is the first choice procedure. Debridement with prosthesis retention is an option in acute cases with stable implants and antibiotic sensible germs. |
| first_indexed | 2024-03-08T08:26:11Z |
| format | Article |
| id | doaj.art-20ee207a3e064ae8934d5169d6518f36 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T08:26:11Z |
| publishDate | 2013-09-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-20ee207a3e064ae8934d5169d6518f362024-02-02T04:33:57ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782013-09-0148538939610.1016/j.rboe.2013.01.003S0102-36162013000500389Infection after total knee replacement: diagnosis and treatmentLucio Honorio de Carvalho JuniorEduardo Frois TemponiRoger BadetInfection after total knee replacement (IATJ) is a rare complication. It is associated with increased morbidity and mortality increasing the final costs. Gram positive coccus and Staphylococcus coagulase-negative and Staphylococcus aureus are the most common isolated germs (>50% of the cases). Conditions related to the patient, to the surgical procedure and even to the post op have been identified as risk factors to IATJ. Many complementary methods together with clinical symptoms are useful to a proper diagnosis. Treatment for IATJ must be individualized but generally is a combination of systemic antibiotic therapy and surgical treatment. Prosthesis exchange in one or two stages is the first choice procedure. Debridement with prosthesis retention is an option in acute cases with stable implants and antibiotic sensible germs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000500389&lng=en&tlng=enAntibacterianosArtroplastia do joelhoDesbridamentoInfeccao |
| spellingShingle | Lucio Honorio de Carvalho Junior Eduardo Frois Temponi Roger Badet Infection after total knee replacement: diagnosis and treatment Revista Brasileira de Ortopedia Antibacterianos Artroplastia do joelho Desbridamento Infeccao |
| title | Infection after total knee replacement: diagnosis and treatment |
| title_full | Infection after total knee replacement: diagnosis and treatment |
| title_fullStr | Infection after total knee replacement: diagnosis and treatment |
| title_full_unstemmed | Infection after total knee replacement: diagnosis and treatment |
| title_short | Infection after total knee replacement: diagnosis and treatment |
| title_sort | infection after total knee replacement diagnosis and treatment |
| topic | Antibacterianos Artroplastia do joelho Desbridamento Infeccao |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000500389&lng=en&tlng=en |
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