Cargando…
Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis
Aim: To compare the arthroscopy vs. arthrotomy for the treatment of native knee septic arthritis. Methods: Electronic databases of PubMed, Embase and Cochrane Library were searched for eligible studies. Retrospective comparative studies comparing arthroscopy or arthrotomy for patients with septic ar...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8792537/ https://www.ncbi.nlm.nih.gov/pubmed/35096958 http://dx.doi.org/10.3389/fsurg.2021.801911 |
_version_ | 1784640387829202944 |
---|---|
author | Liang, Zhimin Deng, Xiaofan Li, Lingli Wang, Jing |
author_facet | Liang, Zhimin Deng, Xiaofan Li, Lingli Wang, Jing |
author_sort | Liang, Zhimin |
collection | PubMed |
description | Aim: To compare the arthroscopy vs. arthrotomy for the treatment of native knee septic arthritis. Methods: Electronic databases of PubMed, Embase and Cochrane Library were searched for eligible studies. Retrospective comparative studies comparing arthroscopy or arthrotomy for patients with septic arthritis of the native knee were eligible for this review. The primary outcome was recurrence of infection after first procedure. The secondary outcomes included hospital length of stay, operative time, range of motion of the involved knee after surgery, overall complications and mortality rate, Results: Thirteen trials were included in this study. There were a total of 2,162 septic arthritis knees treated with arthroscopic debridement and irrigation, and 1,889 septic arthritis knees treated with open debridement and irrigation. Arthroscopy and arthrotomy management of the knee septic arthritis showed comparable rate of reinfection (OR = 0.85; 95% CI, 0.57–1.27; P = 0.44). No significant difference was observed in hospital length of stay, operative time and mortality rate between arthroscopy and arthrotomy management group, while arthroscopy treatment was associated with significantly higher knee range of motion and lower complication rate when compared with arthrotomy treatment. Conclusion: Arthroscopy and arthrotomy showed similar efficacy in infection eradication in the treatment of native septic knee. However, arthroscopy treatment was associated with better postoperative functional recovery and lower complication rate. |
format | Online Article Text |
id | pubmed-8792537 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87925372022-01-28 Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis Liang, Zhimin Deng, Xiaofan Li, Lingli Wang, Jing Front Surg Surgery Aim: To compare the arthroscopy vs. arthrotomy for the treatment of native knee septic arthritis. Methods: Electronic databases of PubMed, Embase and Cochrane Library were searched for eligible studies. Retrospective comparative studies comparing arthroscopy or arthrotomy for patients with septic arthritis of the native knee were eligible for this review. The primary outcome was recurrence of infection after first procedure. The secondary outcomes included hospital length of stay, operative time, range of motion of the involved knee after surgery, overall complications and mortality rate, Results: Thirteen trials were included in this study. There were a total of 2,162 septic arthritis knees treated with arthroscopic debridement and irrigation, and 1,889 septic arthritis knees treated with open debridement and irrigation. Arthroscopy and arthrotomy management of the knee septic arthritis showed comparable rate of reinfection (OR = 0.85; 95% CI, 0.57–1.27; P = 0.44). No significant difference was observed in hospital length of stay, operative time and mortality rate between arthroscopy and arthrotomy management group, while arthroscopy treatment was associated with significantly higher knee range of motion and lower complication rate when compared with arthrotomy treatment. Conclusion: Arthroscopy and arthrotomy showed similar efficacy in infection eradication in the treatment of native septic knee. However, arthroscopy treatment was associated with better postoperative functional recovery and lower complication rate. Frontiers Media S.A. 2022-01-13 /pmc/articles/PMC8792537/ /pubmed/35096958 http://dx.doi.org/10.3389/fsurg.2021.801911 Text en Copyright © 2022 Liang, Deng, Li and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Liang, Zhimin Deng, Xiaofan Li, Lingli Wang, Jing Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis |
title | Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis |
title_full | Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis |
title_fullStr | Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis |
title_full_unstemmed | Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis |
title_short | Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis |
title_sort | similar efficacy of arthroscopy and arthrotomy in infection eradication in the treatment of septic knee: a systematic review and meta-analysis |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8792537/ https://www.ncbi.nlm.nih.gov/pubmed/35096958 http://dx.doi.org/10.3389/fsurg.2021.801911 |
work_keys_str_mv | AT liangzhimin similarefficacyofarthroscopyandarthrotomyininfectioneradicationinthetreatmentofseptickneeasystematicreviewandmetaanalysis AT dengxiaofan similarefficacyofarthroscopyandarthrotomyininfectioneradicationinthetreatmentofseptickneeasystematicreviewandmetaanalysis AT lilingli similarefficacyofarthroscopyandarthrotomyininfectioneradicationinthetreatmentofseptickneeasystematicreviewandmetaanalysis AT wangjing similarefficacyofarthroscopyandarthrotomyininfectioneradicationinthetreatmentofseptickneeasystematicreviewandmetaanalysis |