[Joint empyema].
Bacterial joint infection is rare but may have an unfavourable functional aotcome. The different stages of purulent arthritis, depending on the pathophysiological developments, require different treatment measures. Clinical examination, analysis of joint tap and arthroscopy are crucial for diagnosis. Surgical management comprises: (1) open or arthroscopic débridement with intensive flush lavage; (2) postoperative drainage and flush lavage; (3) early and continuous active and passive motion. Recovery will be complete only if therapy is instituted as early as possible (within 3 days). Joint empyema must therefore be treated as a surgical emergency.
Lungershausen
W
W
Klinik für Unfallchirurgie, Friedrich-Schiller-Universität, Jena.
Markgraf
E
E
Dorow
C
C
Winterstein
K
K
D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001182:Arthroscopy; D001424:Bacterial Infections / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004322:Drainage; D004653:Empyema / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015915:Motion Therapy, Continuous Passive; D011182:Postoperative Care; D013585:Synovitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007507:Therapeutic Irrigation
Gelenkempyem.