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PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY

OBJECTIVE: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure. METHODS: Thirty-two patients who were diagnosed with acute infection of the knee following total a...

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Autores principales: Pecora, Jose Ricardo, Lima, Ana Lucia Munhoz, Helito, Camilo Partezani, Gobbi, Riccardo Gomes, Demange, Marco Kawamura, Camanho, Gilberto Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362700/
https://www.ncbi.nlm.nih.gov/pubmed/30774525
http://dx.doi.org/10.1590/1413-785220192701134183
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author Pecora, Jose Ricardo
Lima, Ana Lucia Munhoz
Helito, Camilo Partezani
Gobbi, Riccardo Gomes
Demange, Marco Kawamura
Camanho, Gilberto Luis
author_facet Pecora, Jose Ricardo
Lima, Ana Lucia Munhoz
Helito, Camilo Partezani
Gobbi, Riccardo Gomes
Demange, Marco Kawamura
Camanho, Gilberto Luis
author_sort Pecora, Jose Ricardo
collection PubMed
description OBJECTIVE: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure. METHODS: Thirty-two patients who were diagnosed with acute infection of the knee following total arthroplasty between 2004 and 2009 were retrospectively evaluated. Infections following arthroplasty were treated in accordance with the protocol for acute infections following arthroscopy recommended at our institution. RESULTS: With application of a treatment protocol for acute infections following total knee arthroplasty, 26 patients (81.2%) had good results and 6 (18.8%) had unsatisfactory results. Statistical analysis showed that the variables correlated with a worse prognosis were age (p = 0.038) and number of surgical debridement procedures performed (p = 0.038). CONCLUSION: Our treatment routine was effective for infection. Prosthesis revision was performed in 2 cases when the initial surgical debridement failed to control the infection. Nível de Evidência IV, Série de casos.
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spelling pubmed-63627002019-02-15 PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY Pecora, Jose Ricardo Lima, Ana Lucia Munhoz Helito, Camilo Partezani Gobbi, Riccardo Gomes Demange, Marco Kawamura Camanho, Gilberto Luis Acta Ortop Bras Original Article OBJECTIVE: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure. METHODS: Thirty-two patients who were diagnosed with acute infection of the knee following total arthroplasty between 2004 and 2009 were retrospectively evaluated. Infections following arthroplasty were treated in accordance with the protocol for acute infections following arthroscopy recommended at our institution. RESULTS: With application of a treatment protocol for acute infections following total knee arthroplasty, 26 patients (81.2%) had good results and 6 (18.8%) had unsatisfactory results. Statistical analysis showed that the variables correlated with a worse prognosis were age (p = 0.038) and number of surgical debridement procedures performed (p = 0.038). CONCLUSION: Our treatment routine was effective for infection. Prosthesis revision was performed in 2 cases when the initial surgical debridement failed to control the infection. Nível de Evidência IV, Série de casos. ATHA EDITORA 2019 /pmc/articles/PMC6362700/ /pubmed/30774525 http://dx.doi.org/10.1590/1413-785220192701134183 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Pecora, Jose Ricardo
Lima, Ana Lucia Munhoz
Helito, Camilo Partezani
Gobbi, Riccardo Gomes
Demange, Marco Kawamura
Camanho, Gilberto Luis
PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
title PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
title_full PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
title_fullStr PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
title_full_unstemmed PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
title_short PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
title_sort protocol for treating acute infections in cases of total knee arthroplasty
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362700/
https://www.ncbi.nlm.nih.gov/pubmed/30774525
http://dx.doi.org/10.1590/1413-785220192701134183
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