TOTBİD Dergisi

TOTBİD Dergisi

2019, Cilt 18, Sayı, 2     (Sayfalar: 138-150)

The cause of deep infection due to primary total knee arthroplasty; current diagnosis and treatment approaches

Vasfi Karatosun 1, Üstün Andaç Dinçtürk 1

1 Dokuz Eylül Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İzmir

DOI: 10.14292/totbid.dergisi.2019.16
Görüntüleme: 573
İndirme : 744

Periprosthetic infection developed after total knee arthroplasty is the most common cause of the revision surgery. Although there has been a lot of research done on the diagnosis and treatment of infection before, there is no consensus on this topic. In case of infection that may occur after total knee arthroplasty, a detailed anamnesis should be taken from the patient, and a detailed physical examination should be performed with clinical suspicion of infection; radiological examinations which may be useful for diagnosis should be requested and evaluated. After the diagnosis of infection as a result of these evaluations, appropriate treatment should be performed with a multidisciplinary approach. The major surgical methods for infected knee arthroplasty in the world are as follows: treatment with the antibiotic suppression alone, suppression therapy with antibiotics and surgical debridement, removal and reimplantation (single stage, dual stage), resection arthroplasty, arthrodesis, and amputation.

Anahtar Kelimeler : infection; prothesis; arthroplasty; periprosthetic infection; deep infection