37-209
Artroplastia de rodilla infectada. Revisión del tratamiento y valoración de resultados
Treatment of infected total knee arthoplasty
J. TOMAS GIL. J.L. RODRIGO PEREZ, J. CHISMOL ABAD, J. FENOLLOSA GOMEZ. SERVICIO DE COI HOSPITAL DR. PESET. VALENCIA.
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008
Métricas
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Resumen (ES)
Infection of knee arthroplasty is the most local ugly
complication with an incidence of 1 to 5%. We retrospectively
studied 16 infected knee arthroplasties out of 516 primary
artrhoplasties performed in our department the last 6 years
(3.1%), evaluating the absence of infection and the functional
knee with the Knee Society Score. Subjective assessment
was made using a visual analog scale. At the end of the follow-
up all the cases were free of infection although results
changed depending on treatment performed. Best results
were found on acute infections, in which early debridement
or one-stage revision were performed. Two-stage revision obtained
good results on late infections although it failed when
it was attempted on hematogenous and acute infections.
Arthrodesis was done in cases where other techniques failed
obtaining fair results. Resection arthroplasty obtained poor
results in all cases.
complication with an incidence of 1 to 5%. We retrospectively
studied 16 infected knee arthroplasties out of 516 primary
artrhoplasties performed in our department the last 6 years
(3.1%), evaluating the absence of infection and the functional
knee with the Knee Society Score. Subjective assessment
was made using a visual analog scale. At the end of the follow-
up all the cases were free of infection although results
changed depending on treatment performed. Best results
were found on acute infections, in which early debridement
or one-stage revision were performed. Two-stage revision obtained
good results on late infections although it failed when
it was attempted on hematogenous and acute infections.
Arthrodesis was done in cases where other techniques failed
obtaining fair results. Resection arthroplasty obtained poor
results in all cases.
Palabras clave (ES):
Infectada
Resultados
Revisión
Tratamiento
Infección
Prótesis
Artroplastia
Rodilla
Resumen (EN)
Infection of knee arthroplasty is the most local ugly
complication with an incidence of 1 to 5%. We retrospectively
studied 16 infected knee arthroplasties out of 516 primary
artrhoplasties performed in our department the last 6 years
(3.1%), evaluating the absence of infection and the functional
knee with the Knee Society Score. Subjective assessment
was made using a visual analog scale. At the end of the follow-
up all the cases were free of infection although results
changed depending on treatment performed. Best results
were found on acute infections, in which early debridement
or one-stage revision were performed. Two-stage revision obtained
good results on late infections although it failed when
it was attempted on hematogenous and acute infections.
Arthrodesis was done in cases where other techniques failed
obtaining fair results. Resection arthroplasty obtained poor
results in all cases.
complication with an incidence of 1 to 5%. We retrospectively
studied 16 infected knee arthroplasties out of 516 primary
artrhoplasties performed in our department the last 6 years
(3.1%), evaluating the absence of infection and the functional
knee with the Knee Society Score. Subjective assessment
was made using a visual analog scale. At the end of the follow-
up all the cases were free of infection although results
changed depending on treatment performed. Best results
were found on acute infections, in which early debridement
or one-stage revision were performed. Two-stage revision obtained
good results on late infections although it failed when
it was attempted on hematogenous and acute infections.
Arthrodesis was done in cases where other techniques failed
obtaining fair results. Resection arthroplasty obtained poor
results in all cases.
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