Arthroscopic Management of The Septic Gonitis.
- Author:
Young Lae MOON
1
;
Jae Won YOU
;
Hyoung Joon SHIM
Author Information
1. Department of Orthopedic Surgery, Chosun University, Korea. orthoped@hitel.net
- Publication Type:Original Article
- Keywords:
Knee;
Septic arthritis;
Arthroscopy;
Irrigation;
Debridement
- MeSH:
Anti-Bacterial Agents;
Arthritis, Infectious;
Arthroscopy;
Debridement;
Drainage;
Follow-Up Studies;
Humans;
Knee;
Range of Motion, Articular
- From:Journal of the Korean Knee Society
2001;13(1):114-116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To determine the place and the limit of the arthroscopic management of septic gonitis. MATERIALS AND METHODS: Twenty-five patients were treated for pyogenic gonitis. The duration of symptoms prior to arthroscopic debridement was 10.2 days(range, one to 45 days). The surgical treatment consisted in a arthroscopic irrigation with debridement of infected necrotic tissue, and the medical treatment consisted in a intravenous antibiotics for an average duration of 10.3 days, followed by oral treatment for 3 weeks. RESULTS: The average follow up was 23.7 months(15 to 37). Twenty-three out of 25 patients had regained their activity as painless full range of motion. CONCLUSION: Arthroscopic drainage is a valuable procedure for the treatment of the septic gonitis. Arthroscopic drainage is a method that has proved effective, with minimal morbidity, in attempts to cure septic arthritis of the knee.