ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 27 Issue : 1 Year : 2019
 
Gold standard treatment of the patients with total knee arthroplasty infection [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. 2018; 26(4): 80-86 | DOI: 10.5505/ias.2018.46244  

Gold standard treatment of the patients with total knee arthroplasty infection

Kaan Yüksel, Kasım Kılıçarslan, Mahmut Nedim Aytekin, Mahmut Uğurlu, Nihat Tosun
Department of Orthopedics and Traumatology, Ankara Yıldırım Beyazıt University, Atatürk Education and Research Hospital, Ankara, Turkey

This study aimed to evaluate and compare early and mid-term results of the two-stage revision method used for diagnosing infections and giving treatment to patients who underwent total knee arthroplasty in Ankara Atatürk Research and Training Hospital, Turkey, between October 2013 and October 2015. Patient files were examined retrospectively, and patients were called for the last examination. Further, 23 patients were included in the study. The first and second stages of the two-stage revision were performed for all these patients. However, in 2 of these 23 patients, the process ended with arthrodesis and amputation. Infections were diagnosed based on the clinical examination of the knee, erythrocyte sedimentation rate, C-reactive protein, white blood cell counts, and intraoperative culture results. Laboratory parameters were also used for monitoring infection. Patients were evaluated preoperatively and postoperatively according to the American Knee Society clinical and functional scoring system. The mean age of the patients was 66.8 years. Also, 18 of the patients were female and 5 male. Early infection was detected in 4, delayed infection in 7, and late infection in 12 patients. The average follow-up time was 12.6 months. The American Knee Society clinical score was 35.0 (median score) preoperatively and 75.4 (median score) postoperatively. The functional score was 38.8 (median score) preoperatively and 77.3 (median score) postoperatively. In conclusion, early and mid-term results of patients with infected total knee prosthesis, who underwent the two-stage revision, were found to be consistent with the published results in terms of infection eradication success, radiological findings, and postoperative clinical and functional scores. It is possible to increase the success rate by approaching the cases in a standardized and systematic way

Keywords: Knee joint, infected total knee arthroplasty, two-stage revision


Kaan Yüksel, Kasım Kılıçarslan, Mahmut Nedim Aytekin, Mahmut Uğurlu, Nihat Tosun. Gold standard treatment of the patients with total knee arthroplasty infection. Med J Islamic World Acad Sci. 2018; 26(4): 80-86

Corresponding Author: Kaan Yüksel, Türkiye


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar




 











 
Copyright © 2019 medicaljournal-ias.org. All Rights Reserved.