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頁籤選單縮合
題名 | The Management and Outcome of Deep Infection in Total knee Arthroplasty |
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作者 | 詹益聖; 許文蔚; 何為斌; 翁文能; 李炫昇; 施俊雄; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷期 | 14:3 1997.09[民86.09] |
頁次 | 頁174-180 |
專輯 | 膝關節病變專輯 |
分類號 | 416.61 |
關鍵詞 | 全人工膝關節置換術; 感染; Deep infection; Total knee arthroplasty; Revision arthroplasty; Arthrodesis; |
語文 | 英文(English) |
英文摘要 | A consecutive series of 36 patients (17 men and 19 women, 38 knees) were treated for infection following total knee arthroplasty (TKA) in our hospital. The average age at operation was 63.5 years (range, 38-76 years) and the average follow-up period was 2.94 years (range, 2-5.5 years). Initially, 16 knees were treated with debridement and antibiotics, while 22 knees had removal of prosthesis. Debridement failed in 9 knees and prosthesis was removed. Seven retained prosthesis after debridement only 2 of them had satisfactory results without recurrence of infection. Revision arthroplasty was performed on 21 knees, and 7 knees failed in this group. Twelve knees with removal of the prosthesis had an arthrodesis; 6 underwent one-stage arthrodesis by means of Hoffman external fixation and two failed. The remaining 6 arthrodesis were performed as a two-stage operation with bone grafting, and solid fusion was accomplished. Above-knee amputation was executed over two patients due to uncontrollable infection. Therefore, vigorous debridement with antibiotic therapy is indicated in the management for the early infection after TKA. If debridement failed, removal of the prosthesis and two-stage reimplantation were recommended. In uncontrollable infection, two-stage arthrodesis with internal fixation might be considered. |
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