Revision of septic total knee arthroplasty.
Nine patients with septic total knee arthroplasties (TKA) were treated between 1980 and 1984; six were gram-positive infections and three were gram-negative. Initial treatment included the maintenance of all solidly fixed components. Patients with loose components were treated with removal of all prosthetic material and subsequent reimplantation after a six-week course of antibiotics. At follow-up examination six of nine patients had satisfactory results. One patient maintained his original femoral and tibial components and one patient required a knee fusion to treat his recurrent gram-negative infection. Overall, complications were associated with chronic infection, gram-negative infection, and abnormalities of the extensor mechanism.
Jacobs
M A
MA
Johns Hopkins University School of Medicine, Good Samaritan Hospital, Baltimore, Maryland.
Hungerford
D S
DS
Krackow
K A
KA
Lennox
D W
DW
D001170:Arthritis, Infectious / Q000601:surgery*; D001178:Arthroplasty; D001424:Bacterial Infections / Q000601:surgery*; D005260:Female; D006090:Gram-Negative Bacteria / Q000302:isolation & purification; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012086:Reoperation