Arthroscopic irrigation and debridement of infected total knee arthroplasty: Report of two cases

There is little information on the management of simultaneous infected total knee arthroplasties in the same patient. Although general principles of management for periprosthetic joint infection apply, there might be certain aspects worth to be considered. We present a case of a 78-year-old patient, who was referred in preseptic conditions 10 years following bilateral TKA. The onset of symptoms was less than one week, proposing an acute hematogenous infection. Analysis of joint fluid revealed that both of his TKAs were infected with Streptococcus sanguinis. Diagnostic algorithms, surgical principles, and the course of the patients following bilateral revision are being described. The reasons for an implant-retaining procedure with irrigation and debridement including the exchange of the polyethylene liners are being discussed as well as possible principles of management of bilateral periprosthetic joint infections.

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Prognostic Factors for Success After Irrigation and Debridement With Modular Component Exchange for Infected Total Knee Arthroplasty

The Journal of Arthroplasty ◽

10.1016/j.arth.2018.02.004 ◽

2018 ◽

Vol 33 (7) ◽

pp. 2240-2245 ◽

Cited By ~ 10

Author(s):

Christian M. Klare ◽

Thomas A. Fortney ◽

Peter W. Kahng ◽

Andrew P. Cox ◽

Benjamin J. Keeney ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Prognostic Factors ◽

Knee Arthroplasty ◽

Infected Total Knee Arthroplasty ◽

Irrigation And Debridement ◽

Total Knee ◽

Modular Component

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The Parameters Affecting the Success of Irrigation and Debridement with Component Retention in the Treatment of Acutely Infected Total Knee Arthroplasty

Clinics in Orthopedic Surgery ◽

10.4055/cios.2015.7.1.69 ◽

2015 ◽

Vol 7 (1) ◽

pp. 69 ◽

Cited By ~ 19

Author(s):

Jae Gyoon Kim ◽

Ji Hoon Bae ◽

Seung Yup Lee ◽

Won Tae Cho ◽

Hong Chul Lim

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Infected Total Knee Arthroplasty ◽

Irrigation And Debridement ◽

Total Knee

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Correction to: Uniplanar versus biplanar monolateral external fixator knee arthrodesis after end-stage failed infected total knee arthroplasty: a comparative study

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-021-03090-1 ◽

2021 ◽

Vol 31 (7) ◽

pp. 1545-1545

Author(s):

Pablo S. Corona ◽

Maria Jurado Ruiz ◽

Ana Scott‑Tennent ◽

Rosa Fraile ◽

Luis Carrera ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Comparative Study ◽

Knee Arthroplasty ◽

External Fixator ◽

Knee Arthrodesis ◽

Infected Total Knee Arthroplasty ◽

Total Knee ◽

End Stage ◽

Monolateral External Fixator

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Current Insights in the Evaluation and Treatment of Infected Total Knee Arthroplasty

The Journal of Knee Surgery ◽

10.1055/s-0041-1737030 ◽

2021 ◽

Author(s):

Blair S. Ashley ◽

Javad Parvizi

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Periprosthetic Joint Infection ◽

Joint Infection ◽

Difficult Problem ◽

Postoperative Course ◽

Infected Total Knee Arthroplasty ◽

Treatment Considerations ◽

Total Knee

AbstractTotal knee arthroplasty is a widely successful procedure, but a small percentage of patients have a postoperative course complicated by periprosthetic joint infection (PJI). PJI is a difficult problem to diagnose and to treat, and the management of PJI differs, depending on the acuity of the infection. This paper discusses the established and newer technologies developed for the diagnosis of PJI as well as different treatment considerations and surgical solutions currently available.

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