Wie hoch ist das statistische Risiko einer Infektion nach ambulanter Arthroskopie?

Müller-Rath, R.; Becker, J.; Ingenhoven, E.

doi:10.1007/s00142-008-0445-3

Cited by 10 publications

(5 citation statements)

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“…Jerosch et al reported infection rates of up to 0.42% following arthroscopy [ 2 ]. Recently the German institute for ambulatory arthroscopy (BVASK) reported an incidence rate of 0.13% following ambulatory arthroscopy [ 8 ]. They evaluated 51.079 surgeries in 66 centers between 2001 and 2008.…”

Section: Introductionmentioning

confidence: 99%

“…They evaluated 51.079 surgeries in 66 centers between 2001 and 2008. They furthermore stated, that depending on the duration of the surgery, the number of previous interventions, the extent of the intraoperative procedure as well as previous steroid injections the infection rate seems to increase [ 8 ]. In this context several authors additionally found combinations of arthroscopic and open surgery techniques to increase the risk for septic arthritis [ 6 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Septic arthritis as a severe complication of elective arthroscopy:clinical management strategies

et al. 2009

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Infection of a peripheral joint following arthroscopic surgery presents with an incidence of approximately 0.42% an extremely rare entity. However, septic arthritis is a serious situation possibly leading to an irreparable joint damage. Especially at delayed diagnosis patients' safety can be endangered severely. Only few precise statements regarding diagnosis and therapy have been published so far. Besides an accurate analysis of the patient's anamnesis and the assessment of the C-reactive protein especially arthrocentesis is required for diagnostic workup. For early stage infections arthroscopic therapy is proven to be of value. In addition a calculated and consecutive germ-adjusted antibiotic therapy is essential. In case of persisting signs of infection the indication for re-arthroscopy or conversion to open revision has to be stated in time. The number of necessary revisions is dependent on the initial stage of infection. For pain therapy postoperative immobilization of the affected joint is occasionally essential, if otherwise possibly early mobilization of the joint should be performed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Septic arthritis as a severe complication of elective arthroscopy:clinical management strategies

et al. 2009

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“…Arthroscopy contributes to direct inoculation by conveying organisms through instruments, into the joint space, where they cause an acute inflammatory response of the synovial membrane/fluid. One recent study in Germany estimated that the rate of infection following arthroscopy was 0.13%, based on evaluation in 66 centres between 2001 and 2008 2. Various factors were shown to increase risk of infection, such as inadequate sterilisation of equipment, duration of surgery and extent of arthroscopic intervention 3…”

Section: Discussionmentioning

confidence: 99%

Three cases of septic arthritis following a recent arthroscopic procedure

Rowton

2013

BMJ Case Reports

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We report three cases of septic arthritis in patients who presented with a painful, swollen and supurative knee joint following a recent arthroscopic procedure, 8–15 days prior to attendance. In all three cases, patients presented with pain and swelling of the affected knee joint with discharge from the port sites. All were sent for washout of the affected joint and received intravenous antibiotic cover. Any patient presenting within 1 month of a recent arthroscopic procedure with pain and swelling of that joint should be presumed to have septic arthritis until proven otherwise. They must have urgent treatment in the form of joint washout and intravenous antibiotics, and receive 6 weeks oral antibiotics on discharge.

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“…l " ambulant l " Arthroskopie l " Kniegelenk l " Infektion l " Thrombose Key words l " outpatient l " arthroscopy l " knee joint l " infection l " thrombosis Bibliografie DOI http://dx.doi.org/ 10.1055/s-0029-1240784 Online-publiziert 1 Arthroskopische Eingriffe am Kniegelenk werden inzwischen überwiegend als ambulante Operation durchgeführt. Dieses betrifft auch komplexe Eingriffe, wie z.…”

Section: Schlüsselwörterunclassified

“…Das perioperative Management muss so organisiert sein, dass auch bei einer kurzen Arzt-Patienten-Kontaktzeit mögliche Komplikationen verhindert, erkannt und jederzeit behandelt werden können. Als Hauptkomplikationen in der arthroskopischen Chirurgie gelten die Infektion und die Thrombose [1]. Des Weiteren spielt eine suffiziente Schmerztherapie für das Gelingen ambulanter Eingriffe eine entscheidende Rolle.…”

Section: Schlüsselwörterunclassified

Perioperatives Management in der ambulanten arthroskopischen Chirurgie des Kniegelenks

Müller-Rath

Ingenhoven²,

Mumme³

et al. 2010

Z Orthop Unfall

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Wie hoch ist das statistische Risiko einer Infektion nach ambulanter Arthroskopie?

Cited by 10 publications

References 10 publications

Septic arthritis as a severe complication of elective arthroscopy:clinical management strategies

Septic arthritis as a severe complication of elective arthroscopy:clinical management strategies

Three cases of septic arthritis following a recent arthroscopic procedure

Perioperatives Management in der ambulanten arthroskopischen Chirurgie des Kniegelenks

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