PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
ABSTRACT Objective: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure. Methods: Thirty-two patients who were diagnosed with acute infection of the knee follow...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2019-02-01
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| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000100027&tlng=en |
| _version_ | 1828126198143647744 |
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| author | Jose Ricardo Pecora Ana Lucia Munhoz Lima Camilo Partezani Helito Riccardo Gomes Gobbi Marco Kawamura Demange Gilberto Luis Camanho |
| author_facet | Jose Ricardo Pecora Ana Lucia Munhoz Lima Camilo Partezani Helito Riccardo Gomes Gobbi Marco Kawamura Demange Gilberto Luis Camanho |
| author_sort | Jose Ricardo Pecora |
| collection | DOAJ |
| description | ABSTRACT Objective: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure. Methods: Thirty-two patients who were diagnosed with acute infection of the knee following total arthroplasty between 2004 and 2009 were retrospectively evaluated. Infections following arthroplasty were treated in accordance with the protocol for acute infections following arthroscopy recommended at our institution. Results: With application of a treatment protocol for acute infections following total knee arthroplasty, 26 patients (81.2%) had good results and 6 (18.8%) had unsatisfactory results. Statistical analysis showed that the variables correlated with a worse prognosis were age (p = 0.038) and number of surgical debridement procedures performed (p = 0.038). Conclusion: Our treatment routine was effective for infection. Prosthesis revision was performed in 2 cases when the initial surgical debridement failed to control the infection. Nível de Evidência IV, Série de casos. |
| first_indexed | 2024-04-11T15:30:54Z |
| format | Article |
| id | doaj.art-d5dfe4f84f62446bb1aba48a164b68b4 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-11T15:30:54Z |
| publishDate | 2019-02-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-d5dfe4f84f62446bb1aba48a164b68b42022-12-22T04:16:09ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522019-02-01271273010.1590/1413-785220192701134183PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTYJose Ricardo Pecorahttps://orcid.org/0000-0003-1621-5252Ana Lucia Munhoz Limahttps://orcid.org/0000-0002-2396-9880Camilo Partezani Helitohttps://orcid.org/0000-0003-1139-2524Riccardo Gomes Gobbihttps://orcid.org/0000-0002-1715-4343Marco Kawamura Demangehttps://orcid.org/0000-0003-1999-9478Gilberto Luis Camanhohttps://orcid.org/0000-0001-8656-5552ABSTRACT Objective: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure. Methods: Thirty-two patients who were diagnosed with acute infection of the knee following total arthroplasty between 2004 and 2009 were retrospectively evaluated. Infections following arthroplasty were treated in accordance with the protocol for acute infections following arthroscopy recommended at our institution. Results: With application of a treatment protocol for acute infections following total knee arthroplasty, 26 patients (81.2%) had good results and 6 (18.8%) had unsatisfactory results. Statistical analysis showed that the variables correlated with a worse prognosis were age (p = 0.038) and number of surgical debridement procedures performed (p = 0.038). Conclusion: Our treatment routine was effective for infection. Prosthesis revision was performed in 2 cases when the initial surgical debridement failed to control the infection. Nível de Evidência IV, Série de casos.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000100027&tlng=enArthroplasty, replacement, knee/methodsArthroplasty, replacement, knee/adverse effectsInfection |
| spellingShingle | Jose Ricardo Pecora Ana Lucia Munhoz Lima Camilo Partezani Helito Riccardo Gomes Gobbi Marco Kawamura Demange Gilberto Luis Camanho PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY Acta Ortopédica Brasileira Arthroplasty, replacement, knee/methods Arthroplasty, replacement, knee/adverse effects Infection |
| title | PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY |
| title_full | PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY |
| title_fullStr | PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY |
| title_full_unstemmed | PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY |
| title_short | PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY |
| title_sort | protocol for treating acute infections in cases of total knee arthroplasty |
| topic | Arthroplasty, replacement, knee/methods Arthroplasty, replacement, knee/adverse effects Infection |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000100027&tlng=en |
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