scholarly journals The relation between the arthroscopic findings and functional outcomes in patients with septic arthritis of the knee joint, treated with arthroscopic debridement and irrigation

2011 ◽  
Vol 45 (2) ◽  
pp. 94-99 ◽  
Author(s):  
Ibrahim Yanmis
Keyword(s):  
Knee Joint ◽  
Septic Arthritis ◽  
Functional Outcomes ◽  
Arthroscopic Debridement ◽  
Arthroscopic Findings

scholarly journals Arthroscopic debridement has lower re-operation rates than arthrotomy in the treatment of acute septic arthritis of the knee: a meta-analysis

2019 ◽  
Vol 4 (6) ◽  
pp. 307-312
Author(s):  
Taufiq Panjwani ◽  
Keng Lin Wong ◽  
Si Heng Sharon Tan ◽  
Glen Liau ◽  
Narendra Vaidya ◽  
...  
Keyword(s):  
Systematic Review ◽  
Relative Risk ◽  
Knee Joint ◽  
Septic Arthritis ◽  
Functional Outcome ◽  
Meta Analysis ◽  
Cochrane Central Register ◽  
Arthroscopic Debridement ◽  
Pertinent Data ◽  
Operation Rate

ImportanceSeptic arthritis of the native knee joint is the most common bacterial joint infection. The management involves prompt surgical debridement and joint irrigation by arthroscopy or arthrotomy. This is the first systematic review and meta-analysis to compare arthroscopic debridement with arthrotomy for septic arthritis of native knee joint.ObjectiveThe purpose of this systematic review and meta-analysis is to compare re-operation rates, length of inpatient hospital stay (LOS) and functional outcome between arthroscopy and arthrotomy in the treatment of acute septic arthritis of the native knee joint.Evidence reviewThis study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Embase and Cochrane Central Register of Controlled Trials databases were searched from database inception to 31 May 2019. All original studies that compared re-operation rates and LOS between arthroscopy and arthrotomy for septic arthritis of knee were included. The research question and eligibility criteria were established a priori. Pertinent data were extracted and random-effects model was used to pool the data where possible.FindingsA total of seven studies with 1089 knees were included, of which 723 underwent arthroscopic surgery and 366 knees underwent arthrotomy. The relative risk of re-operation was significantly lower in the arthroscopy group with a pooled relative risk of 0.69 (95% CI 0.56 to 0.86; p=0.0006). All studies reported shorter LOS and one study reported better functional outcomes in the arthroscopy group as compared with arthrotomy. However, the data could not be quantitatively synthesised due to variation in reporting among the studies included.Conclusions and relevanceBased on the available evidence, we conclude that arthroscopy for the treatment of septic arthritis of the knee results in a lower re-operation rate than arthrotomy. It cannot be concluded whether arthroscopic treatment results in shorter LOS or better functional outcome as compared with arthrotomy.Level of evidenceIV

scholarly journals 385. Arthroscopic vs. Open Surgery for Septic Arthritis of the Knee: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S199-S199
Author(s):  
Suthanya Sornprom ◽  
Iida Molloy ◽  
Taylor Yong
Keyword(s):  
Length Of Stay ◽  
Septic Arthritis ◽  
Physical Function ◽  
Functional Outcomes ◽  
Meta Analysis ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Arthroscopic Debridement ◽  
Irrigation And Debridement ◽  
Open Arthrotomy

Abstract Background Septic arthritis is a joint-threatening and life-threatening infection, with the knee representing the most frequently involved joint. There is no definitive treatment algorithm for the management of this condition, which typically includes surgical debridement to decompress the joint, followed by organism-specific intravenous antibiotics. Methods Search Methods. MEDLINE (1965–2018), SCOPUS (1973–2018), The COCHRANE Library (2006–2017), EMBASE (1974–2018), reference lists, and scientific meetings were searched for relevant studies on the treatment of native knee septic arthritis by three independent reviewers. No language restrictions were used. Selection criteria included all studies reporting on native knee septic arthritis in adults treated with arthroscopy and open arthrotomy with irrigation and debridement. Data Collection and Analysis Studies were identified, subjected to inclusion and exclusion criteria, and reviewed by three independent reviewers. Patient characteristics, interventions, and outcomes were extracted, and the trials were rated for quality based on established criteria. A meta-analysis was conducted for the primary outcome, reoperation occurring after arthroscopic vs. open arthrotomy irrigation and debridement for the treatment of septic arthritis. We used a qualitative analysis for secondary outcomes physical function and hospital length of stay. Results From 624 abstracts, eight trials met inclusion criteria, one randomized controlled trial and seven retrospective cohorts. Quantitative meta-analysis showed arthroscopic irrigation and debridement resulted in fewer reoperations compared with open arthrotomy (RR = 0.76; 95% CI 0.59–0.97, P = 0.03, I2 = 24%), Figure 1. A qualitative summary of seven included studies assessing physical function showed arthroscopic debridement results in improved functional outcomes and range of motion compared with open arthrotomy. Based on four trials, qualitative summary demonstrated that arthroscopic debridement results in decreased hospital length of stay compared with open arthrotomy. Conclusion Arthroscopic irrigation and debridement is favored over open arthrotomy with regard to lower rates of reoperation, improved functional outcomes, and shorter hospital length of stay. Disclosures All authors: No reported disclosures.

Chronic septic arthritis and osteomyelitis in a prosthetic knee joint due toClostridium difficile

1995 ◽  
Vol 14 (7) ◽  
pp. 599-601 ◽  
Author(s):  
B. Pron ◽  
J. Merckx ◽  
P. Touzet ◽  
A. Ferroni ◽  
C. Poyart ◽  
...  
Keyword(s):  
Knee Joint ◽  
Septic Arthritis ◽  
Prosthetic Knee ◽  
Prosthetic Knee Joint

scholarly journals Nocardia Septic Arthritis Complicating an Anterior Cruciate Ligament Repair

2015 ◽  
Vol 53 (8) ◽  
pp. 2760-2762 ◽  
Author(s):  
Elaine X. L. Yong ◽  
Elaine Y. L. Cheong ◽  
Craig S. Boutlis ◽  
Darren B. Chen ◽  
Eunice Y.-T. Liu ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Knee Joint ◽  
Septic Arthritis ◽  
Cruciate Ligament ◽  
The Novel ◽  
Rare Occurrence ◽  
Ligament Repair ◽  
Content Type ◽  
Anterior Cruciate Ligament Repair ◽  
Anterior Cruciate

Nocardiainfection following anterior cruciate ligament (ACL) allograft reconstruction is a rare occurrence. We report a case ofNocardiainfection of an allograft ACL reconstruction and septic arthritis of the knee joint due to an organism most similar to the novelNocardiaspeciesNocardia aobensis.

A Case of Tuberculosis Septic Arthritis in the Knee Joint

2018 ◽  
Vol 23 (4) ◽  
pp. 218-222
Author(s):  
Onur Ural ◽  
Şua Sümer ◽  
Nazlım Aktuğ Demir ◽  
Şeyma Çiftci
Keyword(s):  
Knee Joint ◽  
Septic Arthritis

Arthroscopic treatment of psoas abscess concurrent with septic arthritis of the hip joint

2017 ◽  
Vol 28 (3) ◽  
pp. 336-340 ◽  
Author(s):  
Chul-Ho Kim ◽  
Kekatpure Aditya ◽  
Soong-Joon Lee ◽  
Hyo-June Kim ◽  
Kang-Sup Yoon ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Hip Joint ◽  
Hip Arthroscopy ◽  
Psoas Abscess ◽  
Positive Culture ◽  
Peripheral Compartment ◽  
Drain Tube ◽  
Arthroscopic Debridement ◽  
Suction Drain ◽  
Anterior Capsulotomy

Purpose: To describe the outcomes of 7 cases of psoas abscess concurrent with septic arthritis of the hip treated by hip arthroscopy alone. Methods: We retrospectively collected the data of patients who underwent arthroscopic drainage of psoas abscess concurrent with septic arthritis of the hip. Arthroscopic debridement was performed in both the central and peripheral hip joint compartments. In all cases, the iliopsoas compartment was accessed from the peripheral compartment through an anterior capsulotomy without limb traction. After debridement and drainage of the iliopsoas compartment, a suction drain tube was placed in the iliopsoas compartment through an enlarged anterior capsulotomy and another tube in the peripheral compartment. Postoperative intravenous antibiotics were administered on the basis of culture results; in cases with no positive culture, empirical antibiotics were administered for 4 to 6 weeks after surgery. Results: 7 patients underwent arthroscopic debridement and drainage for a psoas abscess concurrent with hip joint septic arthritis. Laboratory tests were normalized within 4 weeks after hip arthroscopy in all patients. At a median follow-up of 16 months (range, 13-30 months) after surgery, infection recurrence was absent in all patients. Conclusions: Arthroscopic debridement alone could be an effective treatment alternative to open surgery for psoas abscess concurrent with hip joint septic arthritis.

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