The often poor clinical outcome of infected total knee arthroplasty.
The clinical outcomes of various options of treatment in 26 infected total knee arthroplasties (TKAs) with successful eradication and no recurrence of infection for at least 2 years were compared. There were 20 women and 6 men with an average age of 67.7 years. The average follow-up time was 48 months (range, 24-83 months). The evaluation parameters included pain score, knee score, functional score, and radiograph of the knee. The TKAs with acute infection showed significantly better outcome and clinical results when compared with noninfected TKAs. The clinical outcome of chronic infection was less favorable. Arthrodesis achieved better pain relief, whereas reimplantation TKA showed better function. No significant difference in knee scores was observed, however, between reimplantation TKA and arthrodesis. Approximately 50% of reimplantation TKAs had mild-to-moderate knee pain.
Wang
Ching-Jen
CJ
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan. w281211@adm.cgmh.org.tw
Huang
Ting-Wen
TW
Wang
Jun-Wen
JW
Chen
Han-Shiang
HS
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001174:Arthrodesis; D019645:Arthroplasty, Replacement, Knee; D001843:Bone Cements; D002908:Chronic Disease; D003646:Debridement; D016503:Drug Delivery Systems; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000628:therapy*; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D001843:Bone Cements