Author/Authors :
RicaRdo PecoRa, jose Universidade de São Paulo - Faculdade de Medicina - Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil , Lucia Munhoz LiMa, ana Universidade de São Paulo - Faculdade de Medicina - Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil , PaRtezani heLito, caMiLo Universidade de São Paulo - Faculdade de Medicina - Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil , GoMes Gobbi, RiccaRdo Universidade de São Paulo - Faculdade de Medicina - Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil , KawaMuRa deManGe, MaRco Universidade de São Paulo - Faculdade de Medicina - Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil , caManho, GiLbeRto Luis Universidade de São Paulo - Faculdade de Medicina - Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil
Abstract :
Objective: To retrospectively evaluate the results after applying
a protocol for treating acute infections in cases of total knee
arthroplasty and to establish factors predictive of success or fail-
ure. Methods: Thirty-two patients who were diagnosed with acute
infection of the knee following total arthroplasty between 2004 and
2009 were retrospectively evaluated. Infections following arthroplasty
were treated in accordance with the protocol for acute infections
following arthroscopy recommended at our institution. Results: With
application of a treatment protocol for acute infections following
total knee arthroplasty, 26 patients (81.2%) had good results and
6 (18.8%) had unsatisfactory results. Statistical analysis showed
that the variables correlated with a worse prognosis were age
(p = 0.038) and number of surgical debridement procedures
performed (p = 0.038). Conclusion: Our treatment routine was
effective for infection. Prosthesis revision was performed in 2 cases
when the initial surgical debridement failed to control the infection.
Nível de Evidência IV, Série de casos.
Keywords :
Arthroplasty , replacement , knee/methods , Arthroplasty , replacement , knee/adverse effects , Infection
