Treatment of Infections after Total Knee Arthroplasty.
10.4055/jkoa.2010.45.5.335
- Author:
Hee Soo KYUNG
1
;
Jong Uk MUN
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea. hskyung@knu.ac.kr
- Publication Type:Review
- Keywords:
total knee arthroplasty;
infection;
treatment
- MeSH:
Anti-Bacterial Agents;
Arthroplasty;
Dietary Sucrose;
Humans;
Joints;
Knee;
Prognosis;
Prostheses and Implants
- From:The Journal of the Korean Orthopaedic Association
2010;45(5):335-341
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The current infection rates after total knee arthroplasty (TKA) are reported to be 1% to 2% for primary TKAs and 4% to 8% for revision surgeries. The increased finding of resistant pathogens further complicates the problem of prosthetic joint infection. The infection occurs due to an imbalance between the epidemiologic triad of bacterium, host, and environment. The goals of treating an infected patient after TKA are eradicating infection, relieving pain, and providing a stable and functional prosthesis. The management of an infection after TKA should be based on the patient's condition, including the overall prognosis, associated disease, quality of bone, soft tissue coverage, extensor mechanism, and the patient's willingness and medical capability of undergoing multiple surgeries. For best results, the surgeon should make a careful pre-operative plan, and ensure the availability of pre-operative information including preoperative diagnosis, date of index operation, kind of implant, previously used antibiotics, time since index surgery, amount of resection, and complications.
