title: [Infected knee prostheses. Part 1: early infection or acute hematogenous infection].
abstract: OBJECTIVE
  Treatment of an early total knee arthroplasty (TKA) infection with the goal of salvaging the implant.
  
  
  METHODS
  Early postoperative infections within the first 4 weeks. The acute hemtogenous infection of the knee joint with TKA and duration of symptoms for a maximum of 4 weeks.
  
  
  METHODS
  Unsuitable for anesthesia, high acute infection with sepsis and risk for bacteremia with danger to life, large soft tissue damage where plastic surgery coverage is not possible.
  
  
  METHODS
  Arthrotomy, synovectomy, inlay removal, jet lavage, instillation of polyhexanide, new inlay, drainage and infusion-aspiration-drainage if necessary, wound closure with plastic surgery if necessary.
  
  
  METHODS
  Infusion-aspiration-drainage with polyhexanide for 3 days or drainage for 3 days. Continuous passive motion (CPM) with increasing range of motion (ROM) 0-0-30°. Removal of the drain after 5 days and mobilization with increasing ROM and full weight-bearing.
  
  
  RESULTS
  The success rate for the salvage procedure is about 70%.
authors.affiliation: Abteilung Unfall-, Wirbelsäulen- und Gelenkchirurgie, Asklepios-Südpfalzklinik Kandel, Luitpoldstr. 14, 76870 Kandel, Germany. pe.herrmann@asklepios.com
authors.forename: P
authors.initials: P
authors.lastname: Herrmann
authors.forename: P
authors.initials: P
authors.lastname: Thoele
authors.forename: V
authors.initials: V
authors.lastname: Heppert
mesh_terms: D000208:Acute Disease; D001182:Arthroscopy / Q000379:methods*; D003646:Debridement / Q000379:methods*; D020878:Device Removal; D004322:Drainage / Q000379:methods*; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000601:surgery*; D016879:Salvage Therapy / Q000379:methods; D018805:Sepsis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome