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Operative management of the infected knee
1Department of Orthopedics, University of Florida, College of Medicine, Gainesville 32610-0246, USA.
Orthopedics
|September 1, 1995
Summary
Two-stage revision knee arthroplasty (TKA) with antibiotics offers a 90% success rate for treating infected knee replacements. This approach effectively cures infection and restores good function in most patients.
Area of Science:
- Orthopedic surgery
- Infectious disease management
Background:
- Infected total knee arthroplasty (TKA) presents a significant challenge in orthopedic surgery.
- Multiple treatment options exist, necessitating a clear understanding of their efficacy.
Purpose of the Study:
- To evaluate the effectiveness of two-stage revision arthroplasty combined with parenteral antibiotic therapy for treating infected TKA.
- To provide a preferred treatment strategy based on success rates and functional outcomes.
Main Methods:
- Review of treatment choices for infected TKA.
- Preference for a two-stage revision arthroplasty protocol.
- Integration of appropriate parenteral antibiotic therapy.
Main Results:
- The selected treatment approach (two-stage revision arthroplasty with antibiotics) demonstrates a high success rate of approximately 90% in curing infection.
- This method generally leads to good functional outcomes for patients.
Conclusions:
- Two-stage revision arthroplasty with parenteral antibiotics is a highly effective treatment for infected TKA.
- This strategy offers a favorable balance of infection eradication and functional restoration.