Therapie der bakteriellen Gonitis durch radikale Synovektomie und Einsetzen einer zementierten stabilisierten Kniegelenkendoprothese

Siegel, A; Frommelt, Lars; Runde, W

doi:10.1007/s001040051231

Cited by 21 publications

(3 citation statements)

References 2 publications

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“…The results for direct exchange are comparable with a two-stage strategy [1, 2, 4, 8, 12, 17, 19, 21]. These reports suggest that direct exchange arthroplasty is likely to decrease the overall health care costs, reduce morbidity and technical difficulty associated with multiple surgical procedures [2, 4, 12].…”

Section: Introductionmentioning

confidence: 81%

Direct exchange endoprosthetic reconstruction with tumour prosthesis for periprosthetic knee infection associated with segmental bone defects

Ramappa¹,

McMurtry²,

Port³

2010

Strategies in Trauma and Limb Reconstruction

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Revision knee arthroplasty for infection poses a treatment challenge. The presence of massive osteolysis limits the treatment options in this cohort. Controversy exists in the management of these patients. Direct exchange arthroplasty has provided good results in the presence of infection, but whether this is appropriate in the presence of massive bone defects associated with the infection is undetermined. We present our experience in revision knee arthroplasty for infection associated with massive bone defects. The aim of the study is to present the preliminary results of a direct exchange endoprosthetic reconstruction with tumour prosthesis for periprosthetic infection associated with segmental bone defects. This is a retrospective study of prospectively collected data, involving six patients with periprosthetic infection and massive bone defects treated by direct exchange tumour prostheses between 2003 and 2007 (four distal femoral replacements and two total femoral replacements). The mean age and follow-up were 74.2 (±5.2) years and 32.5 (±8.2) months respectively. Each patient had an infected revised knee arthroplasty at the time of referral to our institution. Staphylococcus aureus was the most common causal organism. The mean duration of antibiotics was 6 weeks intravenous therapy followed by 3.5 months oral. The recurrences of infection, pain or immobility were outcome criteria considered failures. Our success rate was 80%. Salvage of infected revised knee arthroplasty by direct exchange endoprosthetic reconstruction has provided an effective means of pain relief, joint stability and improved mobility in our cohort. It reduces morbidity through earlier mobilisation and avoids a second major operation.

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Section: Introductionmentioning

confidence: 81%

Direct exchange endoprosthetic reconstruction with tumour prosthesis for periprosthetic knee infection associated with segmental bone defects

Ramappa¹,

McMurtry²,

Port³

2010

Strategies in Trauma and Limb Reconstruction

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Siegel et al [30] recommend a synovectomy and implantation of a cemented knee joint endoprosthesis in cases of bacterial joint infection. In 71 % of the cases in this series, the infection was eliminated by primary surgery, but in 13 % preservation of the knee joint was not possible [30]. In comparison, the data of the current series show higher infection control rates; thus, simultaneous knee replacement does not seem to be necessary at the time of the index procedure.…”

Section: Discussionmentioning

confidence: 99%