Infection after total knee arthroplasty: a two-staged revision - Hospital de San José, Bogotá DC.
Infección de artroplastia total de rodilla: revisión en dos tiempos quirúrgicos Hospital de San José, Bogotá DC.
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Ramírez Lamas, J., Pardo, C., & Muñoz, E. (2012). Infection after total knee arthroplasty: a two-staged revision - Hospital de San José, Bogotá DC. Journal of Medicine and Surgery Repertoire, 21(1), 35–44. https://doi.org/10.31260/RepertMedCir.v21.n1.2012.792
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Abstract
Seven revisions of total knee replacement due to infection were conducted between 2007 and 2010 at Hospital de San José de Bogotá DC using the prosthesis re-sterilization technique. Three patients undertook a second surgical stage as definite treatment, infection eradication was achieved in all and functional results were good according to the Knee Society Score in two of the patients. Of patients not included, three still have the spacer and a second stage arthrodesis had to be conducted in one due to persistent infection. The re sterilization of prosthesis components technique and its use as an articulating spacer is herein presented as a management alternative to effectively treat infection in total knee prosthesis.
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References
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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:
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.
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:
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.