Effect of arthroscopic lavage and repeated intra-articular administrations of antibiotic in adult horses and foals with septic arthritis

2017 ◽  
Vol 46 (7) ◽  
pp. 1008-1016 ◽  
Author(s):  
Matthieu Cousty ◽  
John David Stack ◽  
Cyril Tricaud ◽  
Florent David
Keyword(s):  
Septic Arthritis ◽  
Arthroscopic Lavage

Treatment of Septic Arthritis of the Hip by Arthroscopic Lavage

1993 ◽  
Vol 13 (4) ◽  
pp. 444-446 ◽  
Author(s):  
Wui K. Chung ◽  
Gordon L. Slater ◽  
Edward H. Bates
Keyword(s):  
Septic Arthritis ◽  
Arthroscopic Lavage

scholarly journals Time delay between diagnosis and arthroscopic lavage in septic arthritis. Does it matter?

2012 ◽  
Vol 36 (8) ◽  
pp. 1727-1731 ◽  
Author(s):  
Preetham Kodumuri ◽  
Guido Geutjens ◽  
Hui-Ling Kerr
Keyword(s):  
Time Delay ◽  
Septic Arthritis ◽  
Arthroscopic Lavage

scholarly journals Functional Outcome for Arthroscopic Treatment of Septic Arthritis of the Wrist

2019 ◽  
Vol 09 (03) ◽  
pp. 190-196 ◽  
Author(s):  
Esther M. W. Chow ◽  
Jimmy K. Y. Lau ◽  
Lucci L. C. Liyeung ◽  
W. W. Chau ◽  
Michael C. K. Mak ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Functional Outcome ◽  
Case Reports ◽  
Arthroscopic Surgery ◽  
Arthroscopic Treatment ◽  
Level Of Evidence ◽  
Duration Of Symptoms ◽  
Arthroscopic Lavage ◽  
Open Treatment

Abstract Background Septic arthritis is a potentially joint-destructing condition if not treated properly. Septic wrist accounts for ∼5% of all septic arthritis. Arthroscopic lavage is a well-documented treatment for septic arthritis of the knee, hip, or shoulder only. Previous studies on septic wrist were limited to case reports or retrospective studies focusing on open treatment, and functional outcome was seldom documented. Our study aims to evaluate the effectiveness of arthroscopic treatment and to investigate the functional outcome. Materials and Methods Patients were retrospectively reviewed over a period of 10 years. Parameters including age, gender, history of prior injury, duration of symptoms, joint aspirates and intraoperative tissue culture, radiological and arthroscopic findings, antibiotics used, number of operations, and hospital stay were reviewed. Functional outcomes were evaluated with QuickDASH (disabilities of the arm, shoulder, and hand) score. Results From 2007 to 2016, 14 patients (15 septic wrists) underwent arthroscopic surgery. One patient had bilateral involvement. The average age was 63.9 years and the average duration of symptoms was 6.08 days. Average follow-up time was 10 months. All except two patients (85.7%) responded to single arthroscopic treatment. Two required subsequent operations for concomitant tenosynovitis. There were no major complications. The most common isolated organism was Staphylococcus aureus. Only one case had severe joint erosion during follow-up. The average QuickDASH score was 19.7. Duration of symptoms 5 days or more before admission was associated with higher QuickDASH score (p = 0.04). Conclusion Early arthroscopic treatment should be considered for all patients admitted for septic arthritis of the wrist if not contraindicated. Level of Evidence This is a Level III, retrospective review.

Arthroscopic Lavage and Implantation of Gentamicin-impregnated Collagen Sponges for Treatment of Chronic Septic Arthritis in Cattle

1999 ◽  
Vol 12 (02) ◽  
pp. 64-69 ◽  
Author(s):  
G. Hirsbrunner ◽  
R. Miserez ◽  
P. Tschudi ◽  
A. Steiner
Keyword(s):  
Synovial Fluid ◽  
Septic Arthritis ◽  
Previous Treatment ◽  
Metacarpophalangeal Joint ◽  
Implant Removal ◽  
Initial Operation ◽  
Valuable Alternative ◽  
Procaine Penicillin ◽  
Arthroscopic Lavage ◽  
Retrospective Clinical Study

SummaryThe object of this retrospective clinical study was to evaluate the efficacy of arthroscopic lavage and debridement, followed by intra-articular implantation of resorbable gentamicin-impregnated collagen sponges (GICS) for treatment of chronic (≥ seven days) septic arthritis in cattle. Fourteen cattle suffering from chronic septic monarthritis refractory to previous treatment were included in this study. Age ranged from one month to 7 years (mean = 34 months) and bodyweight from 58 to 640 kg (mean = 422 kg). The degree of lameness and characteristics of synovial fluid were evaluated before and at days #10 and 20 after the initial operation. The standard surgical procedure consisted of arthroscopic “through-and-through” lavage of the affected joint with a physiological Ringer’s solution, partial synovectomy, and curettage of the articular cartilage when considered necessary, followed by the intra-articular administration of GICS. The aftercare included administration of procaine penicillin, phenylbutazone, and stall confinement. The progress of the cases was monitored at three to 24 months after the initial operation.The tarsocrural joint was affected in six cases, the antebrachiocarpal joint in five and the metacarpophalangeal joint in three cases. The degree of lameness, total nucleated cell count and total protein of synovial fluid significantly (P <.05) decreased within 10 days after the operation. Treatment was successful in 12 of 14 animals (86%). It was therefore concluded that the implantation of GICS after routine “throughand- through” lavage is a valuable alternative technique for the treatment of chronic septic arthritis in cattle. A subsequent second operation for implant removal was not necessary, as GICS are fully absorbable. The tarsocrural joint is associated with the least favourable prognosis of the joints treated in this study.The efficacy of arthroscopic “through-and-through” lavage and debridement, followed by intra-articular implantation of absorbable gentamicin-impreg-nated collagen sponges (GICS) for treatment of chronic (≥ seven days) septic arthritis in cattle was evaluated. Treatment was successful in 12 of 14 cattle (86%). This suggests that the described technique is a valuable alternative to established treatment regimens for prolonged intra-articular administration of gentamicin. When compared to gentamicin-impregnated polymethylmethacrylate beads, GICS have the advantage that a second operation for implant removal is not necessary.

Gonococcal Osteomyelitis Complicating Septic Arthritis

JAMA ◽  
1983 ◽  
Vol 250 (19) ◽  
pp. 2671 ◽  
Author(s):  
Elizabeth A. Tindall
Keyword(s):  
Septic Arthritis

Osteomyelitis and septic arthritis in children: first data from the EUCLIDS network

2015 ◽  
Author(s):  
Werner Zenz ◽  
Andreas Trobisch ◽  
Daniela Klobassa ◽  
Alexander Binder ◽  
Matthias Sperl ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Children First
Sign in / Sign up

Export Citation Format

Share Document