Assessing risks of developing and persistence of infectious process in knee joint replacement

Despite of intensive work on improving endoprosthetic replacement constructions, using minimally invasive techniques, developing methods of prevention for and treatment of periprosthetic joint infection, relapse of infection process can reach up to 52 % after treatment.The aim of the study: to show...

Full description

Bibliographic Details
Main Authors: A. N. Grishchuk, S. N. Leonova, A. L. Kameka
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2021-10-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/2991
_version_ 1797237195984076800
author A. N. Grishchuk
S. N. Leonova
A. L. Kameka
author_facet A. N. Grishchuk
S. N. Leonova
A. L. Kameka
author_sort A. N. Grishchuk
collection DOAJ
description Despite of intensive work on improving endoprosthetic replacement constructions, using minimally invasive techniques, developing methods of prevention for and treatment of periprosthetic joint infection, relapse of infection process can reach up to 52 % after treatment.The aim of the study: to show the importance of identifying the risks of development and recurrence of periprosthetic infection after implantation of a knee joint endoprosthesis. A clinical case of the development of a deep periprosthetic infection in a patient after primary knee replacement and successful treatment of the resulting complication was demonstrated. The analysis of this case of an infectious complication using the proposed prognosis for the development of periprosthetic infection showed that before surgical treatment of the patient, the risk of an infectious process was not assessed, and appropriate preventive and therapeutic measures were not carried out.Materials and methods. In the treatment of developed periprosthetic infection of the knee joint, the author’s algorithm for choosing surgical tactics was used, which allowed to determine the high risk of recurrence of periprosthetic infection, evaluate additional criteria and choose the optimal type of surgical intervention – two-stage revision endoprosthetic, which allowed to stop the infectious process.New was the use of the proposed prognosis for the development of periprosthetic infection and the algorithm for choosing surgical tactics for periprosthetic infection, which make it possible to determine the necessary preventive measures to reduce the risk of an infectious complication and to apply the optimal type of surgical intervention to relieve periprosthetic knee infection.
first_indexed 2024-03-08T12:15:47Z
format Article
id doaj.art-4066fe0382774ee0bd13fc450f748dd5
institution Directory Open Access Journal
issn 2541-9420
2587-9596
language Russian
last_indexed 2024-04-24T17:15:54Z
publishDate 2021-10-01
publisher Scientific Сentre for Family Health and Human Reproduction Problems
record_format Article
series Acta Biomedica Scientifica
spelling doaj.art-4066fe0382774ee0bd13fc450f748dd52024-03-28T07:49:25ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962021-10-016420221210.29413/ABS.2021-6.4.182198Assessing risks of developing and persistence of infectious process in knee joint replacementA. N. Grishchuk0S. N. Leonova1A. L. Kameka2Irkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and TraumatologyDespite of intensive work on improving endoprosthetic replacement constructions, using minimally invasive techniques, developing methods of prevention for and treatment of periprosthetic joint infection, relapse of infection process can reach up to 52 % after treatment.The aim of the study: to show the importance of identifying the risks of development and recurrence of periprosthetic infection after implantation of a knee joint endoprosthesis. A clinical case of the development of a deep periprosthetic infection in a patient after primary knee replacement and successful treatment of the resulting complication was demonstrated. The analysis of this case of an infectious complication using the proposed prognosis for the development of periprosthetic infection showed that before surgical treatment of the patient, the risk of an infectious process was not assessed, and appropriate preventive and therapeutic measures were not carried out.Materials and methods. In the treatment of developed periprosthetic infection of the knee joint, the author’s algorithm for choosing surgical tactics was used, which allowed to determine the high risk of recurrence of periprosthetic infection, evaluate additional criteria and choose the optimal type of surgical intervention – two-stage revision endoprosthetic, which allowed to stop the infectious process.New was the use of the proposed prognosis for the development of periprosthetic infection and the algorithm for choosing surgical tactics for periprosthetic infection, which make it possible to determine the necessary preventive measures to reduce the risk of an infectious complication and to apply the optimal type of surgical intervention to relieve periprosthetic knee infection.https://www.actabiomedica.ru/jour/article/view/2991knee joint replacementrisk of developing and persistence of an infectious processperiprosthetic infection
spellingShingle A. N. Grishchuk
S. N. Leonova
A. L. Kameka
Assessing risks of developing and persistence of infectious process in knee joint replacement
Acta Biomedica Scientifica
knee joint replacement
risk of developing and persistence of an infectious process
periprosthetic infection
title Assessing risks of developing and persistence of infectious process in knee joint replacement
title_full Assessing risks of developing and persistence of infectious process in knee joint replacement
title_fullStr Assessing risks of developing and persistence of infectious process in knee joint replacement
title_full_unstemmed Assessing risks of developing and persistence of infectious process in knee joint replacement
title_short Assessing risks of developing and persistence of infectious process in knee joint replacement
title_sort assessing risks of developing and persistence of infectious process in knee joint replacement
topic knee joint replacement
risk of developing and persistence of an infectious process
periprosthetic infection
url https://www.actabiomedica.ru/jour/article/view/2991
work_keys_str_mv AT angrishchuk assessingrisksofdevelopingandpersistenceofinfectiousprocessinkneejointreplacement
AT snleonova assessingrisksofdevelopingandpersistenceofinfectiousprocessinkneejointreplacement
AT alkameka assessingrisksofdevelopingandpersistenceofinfectiousprocessinkneejointreplacement