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Infected Total Knee Replacements
1Cornell University Medical College, New York, The Hospital for Special Surgery, New York.
The Journal of the American Academy of Orthopaedic Surgeons
|January 1, 1994
Summary
Deep infection after total knee replacement is serious. Two-stage reimplantation offers the most successful functional outcome for eradicating infection and restoring knee function.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Arthroplasty
Background:
- Deep infection is a severe complication after total knee arthroplasty (TKA).
- Prompt diagnosis and effective treatment are crucial for successful TKA outcomes.
- Various treatment strategies exist, each with specific indications and success rates.
Purpose of the Study:
- To review treatment options for deep infections following total knee arthroplasty.
- To identify the most successful functional approach for managing infected TKA.
- To emphasize the importance of multidisciplinary efforts in infection eradication.
Main Methods:
- Review of current treatment modalities for infected TKA.
- Analysis of the efficacy of different salvage options.
- Highlighting the role of surgical and infectious disease collaboration.
Main Results:
- Multiple treatment options are available, including antibiotic suppression, debridement, resection arthroplasty, arthrodesis, two-stage reimplantation, and amputation.
- Two-stage reimplantation demonstrates the highest success rate for functional recovery.
- Successful management requires significant commitment from surgical and infectious disease teams.
Conclusions:
- Two-stage reimplantation is the most successful functional option for infected total knee replacements.
- Aggressive, coordinated efforts are essential for eradicating deep joint infections.
- Prioritizing two-stage reimplantation when feasible maximizes the chances of a good functional outcome post-infection.