Intra-articular Ozone Treatment of Infection in a Knee Prosthesis Model

AbstractObjectives:To investigate effect of a combination of ozone and antibiotics on the treatment of an infected knee prosthesis in a rabbit model. Methods: Twenty-four New Zealand rabbits underwent implantation of a polyethylene washer and screw into the lateral condyle of the right femur and int...

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Main Authors: Alper Kurtoğlu, Murat Oto, Ahmet Esat Kıter
Format: Article
Language:English
Published: Sakarya University 2019-09-01
Series:Sakarya Tıp Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/807486
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author Alper Kurtoğlu
Murat Oto
Ahmet Esat Kıter
author_facet Alper Kurtoğlu
Murat Oto
Ahmet Esat Kıter
author_sort Alper Kurtoğlu
collection DOAJ
description AbstractObjectives:To investigate effect of a combination of ozone and antibiotics on the treatment of an infected knee prosthesis in a rabbit model. Methods: Twenty-four New Zealand rabbits underwent implantation of a polyethylene washer and screw into the lateral condyle of the right femur and intraarticular inoculation with Staphylococcus aureus. Four groups were examined: control, antibiotic (14 days), ozone (thrice weekly for two weeks), ozone+antibiotic. After the 7th day of surgery, all animals were clinically examined and their knees were irrigated with an NaCl solution. In all groups, two animals were chosen randomly and assessed for infection. All animals were sacrificed at the end of the 3rd week. Knee samples were taken from all animals, cultured, and evaluated via the histologic-histochemical Salter scoring system.Results: There was a significant difference between the control group and all other groups in histologic-histochemical scores, but no other group-wise differences. Although they did not reach statistical significance, the histological-histochemical scores were lowest in the ozone+antibiotic group and the results of culturing most pronounced in the antibiotic group.Conclusions: Ozone therapy may be considered to be an alternative option for the prevention of joint degeneration cause by infection in individuals with an intraarticular implant.
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spelling doaj.art-b46e7042572b46ad957b37832245ee1d2024-01-21T07:40:12ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2019-09-019352853510.31832/smj.55863028Intra-articular Ozone Treatment of Infection in a Knee Prosthesis ModelAlper Kurtoğlu0Murat Oto1Ahmet Esat Kıter2Sakarya Üniversitesi Tıp Fakültesi Eğitim ve Araştırma HastanesiPamukkale Ünivesitesi Tıp Fakültesi HastanesiPamukkale Ünivesitesi Tıp Fakültesi HastanesiAbstractObjectives:To investigate effect of a combination of ozone and antibiotics on the treatment of an infected knee prosthesis in a rabbit model. Methods: Twenty-four New Zealand rabbits underwent implantation of a polyethylene washer and screw into the lateral condyle of the right femur and intraarticular inoculation with Staphylococcus aureus. Four groups were examined: control, antibiotic (14 days), ozone (thrice weekly for two weeks), ozone+antibiotic. After the 7th day of surgery, all animals were clinically examined and their knees were irrigated with an NaCl solution. In all groups, two animals were chosen randomly and assessed for infection. All animals were sacrificed at the end of the 3rd week. Knee samples were taken from all animals, cultured, and evaluated via the histologic-histochemical Salter scoring system.Results: There was a significant difference between the control group and all other groups in histologic-histochemical scores, but no other group-wise differences. Although they did not reach statistical significance, the histological-histochemical scores were lowest in the ozone+antibiotic group and the results of culturing most pronounced in the antibiotic group.Conclusions: Ozone therapy may be considered to be an alternative option for the prevention of joint degeneration cause by infection in individuals with an intraarticular implant.https://dergipark.org.tr/tr/download/article-file/807486ozon; protez ve i̇mplant; enfeksiyon; antibakterial ajanlarozone; prostheses and implants; knee infection; ant-bacterial agents
spellingShingle Alper Kurtoğlu
Murat Oto
Ahmet Esat Kıter
Intra-articular Ozone Treatment of Infection in a Knee Prosthesis Model
Sakarya Tıp Dergisi
ozon; protez ve i̇mplant; enfeksiyon; antibakterial ajanlar
ozone; prostheses and implants; knee infection; ant-bacterial agents
title Intra-articular Ozone Treatment of Infection in a Knee Prosthesis Model
title_full Intra-articular Ozone Treatment of Infection in a Knee Prosthesis Model
title_fullStr Intra-articular Ozone Treatment of Infection in a Knee Prosthesis Model
title_full_unstemmed Intra-articular Ozone Treatment of Infection in a Knee Prosthesis Model
title_short Intra-articular Ozone Treatment of Infection in a Knee Prosthesis Model
title_sort intra articular ozone treatment of infection in a knee prosthesis model
topic ozon; protez ve i̇mplant; enfeksiyon; antibakterial ajanlar
ozone; prostheses and implants; knee infection; ant-bacterial agents
url https://dergipark.org.tr/tr/download/article-file/807486
work_keys_str_mv AT alperkurtoglu intraarticularozonetreatmentofinfectioninakneeprosthesismodel
AT muratoto intraarticularozonetreatmentofinfectioninakneeprosthesismodel
AT ahmetesatkıter intraarticularozonetreatmentofinfectioninakneeprosthesismodel