Infección de artroplastia total de rodilla: revisión en dos tiempos quirúrgicos Hospital de San José, Bogotá DC.

Infection after total knee arthroplasty: a two-staged revision - Hospital de San José, Bogotá DC.

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Julio Ramírez Lamas
Carlos Pardo
Edgar Muñoz

Resumen

Entre 2007 y 2010 se realizaron en el Hospital de San José de Bogotá DC siete revisiones de remplazo total de rodilla por infección con la técnica de reesterilización de la prótesis. Tres pacientes fueron llevados a segundo tiempo quirúrgico como manejo definitivo, en todos se consiguió erradicación de la infección y en dos los resultados funcionales buenos según el pontaje Knee Society Score. De los pacientes no incluidos, tres continúan con el espaciador y en uno se tuvo que realizar artrodesis en el segundo tiempo quirúrgico debido a persistencia de la infección. Se presenta la técnica quirúrgica de reesterilización de los componen­ tes protésicos y su uso a manera de espaciador articulado, como alternativa para el manejo efectivo de la infección en la prótesis total de rodilla.

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Referencias

1. Kurtz SM, Lau E, Schmier J, Ong KL, Zhao K, Parvizi J. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty. 2008;23: 984-991.
2. Peersman G, Laskin R, Davis J, Peterson M. Infection in total knee replacement: a retrospective review of 6489 total knee replacements. Clin Orthop Relat Res. 2001;392: 15-23.
3. Leone JM, Hanssen AD. Management of Infection at the Site of a Total Knee Arthroplasty. J Bone Joint Surg Am. 2005 ;87(10):2335-48.
4. Segawa H, Tsukayama DT, Kyle RF, Becker DA, Gustilo RB. lnfection after total knee arthroplasty. A retrospective study of the treatment of eighty-one in­ fections. J Bone Joint Surg Am. 1 999; 81 :1434-1445.
5. La Valle CJ, Zuckerman ID, Di Cesare PE. Periprosthetic sepsis. Clin Orthop Relat Res. 2004; 420:26-31.
6. Phillips JE, Crane TP, Noy M, Elliott TS, Grimer RJ. The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective survey. J Bone Joint Surg Br. 2006; 887:943-48.
7. Mont MA, Waldman BJ, Hungerford DS. Evaluation of preoperative cultures be­ fore second-stage reimplantation of a total knee prosthesis complicated by infec­ tion. A comparisongroup study. J Bone Joint Surg Am. 2000; 82(11):1552 1557.
8. Insall JN, Thompson FM, Brause BD. Two-stage reimplantation for the salvage of infected total knee arthroplasty. J Bone Joint Surg Am. 1983; 65: 1087-98.
9. Goldman RT, Scuderi GR, Insall JN. 2-stage reimplantation for infected total knee replacement. Clin Orthop Relat Res. 1996; 331:l 18-24.
10. Hanssen AD. Managing the infected knee: as good as it gets. J Arthroplasty. 2002;17(4 Suppl 1):98.
11. Windsor RE, Bono N. Infected Total Knee Replacements. J Am Acad Orthop Surg. 1994; 2:44.
12. Freeman MG, Fehring TK, Odum SM, Fehring K, Griffin WL, Masan JB. Functional advantage of articulating versus static spacers in 2-stage revision for total knee arthroplasty infection. J Arthroplasty. 2007 Dec;22(8):I I 16-21.
13. Haddad FS, Masri BA, Campbell D, McGraw RW, Beauchamp CP, Duncan CP. The prostalac functional spacer in two-stage revision for infected knee repla­ cements. Prosthesis of antibiotic-loaded acrylic cernen!. J Bone Joint Surg Br. 2000;82:807-12
14. Emerson RH Jr, Muncie M, Tarbox TR, Higgins LL. Cornparison of a static with a mobile spacer in total knee infection. Clin Orthop Relat Res. 2002;404: 132-8.
15. Hirakawa K, Stulberg BN, Wilde AH. Results of 2-stage reimplantation for in­ fected total knee arthroplasty. J Arthroplasty. 1998;13:22.
16. Hofmann AA, Kane KR, Tkach TK, et al. Treatment of infected total knee arthro­ plasty using an articulating spacer. Clin Orthop Relat Res. 1995;321:45
17. Hofmann AA, Goldberg T, Tanner A, et al. Treatment of infected total knee arthroplasty using an articulating spacer: 2- to 12- year experience. Clin Orthop Relat Res. 2005;430:125.
18. Wilde AH, Ruth JT. Two-stage reimplantation in infected total knee arthroplasty. Clin Orthop Relat Res. 1988; 236:23-35.
19. Kurd MF, Ghanem E, Steinbrecher J, Parvizi J. Two-stage exchange knee arthro­ plasty: 20. Jiimsen E, Stogiannidis I, Malmivaara A, Pajamak.i J, Puolakka T, Konttinen YT. Outcome of prosthesis exchange for infected knee arthroplasty: the effect of treatment approach A systematic review of the literature. Acta Orthop. 2009 Feb; 80(1):67-77.
21. Patel VP, Walsb M, Sehgal B, Prestan C, DeWal H, Di Cesare PE. Factors as­ sociated witb prolonged wound drainage after primary total hip and knee arthro­ plasty. J Bone Joint Surg Am. 2007 Jan;89(1):33-8.
22. Soohoo NF, Zingmond DS, Lieberman JR, Ko CY: Optima) time frame for re­ porting short-term complication rates after total knee arthroplasty. J Arthroplasty. 2006 Aug;21(5):705-1J.
23. Huang HT, Su JY, Chen SK. The results of articulating spacer technique for infected total knee arthroplasty. J Arthroplasty. 2006 Dec;21(8):1l 63-8.
24. Windsor RE, Insall JN, Urs WK, et al. Two-stage reimplantation for the salvage of total knee arthroplasty complicated by infection. J Borre Joint Surg Am. 1990 Feb;72(2):272-8.

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