Revue de Chirurgie Orthopédique et Traumatologique – Vol. 92 – N° S8 – p. – Iconography: L’arthrite septique du genou – EM|consulte. Le but de cette étude était de préciser les résultats et les limites du traitement arthroscopique des arthrites septiques du genou, alternative au traitement par. Une arthrite septique sur PTG est due essentiellement au Staphylococcus aureus suivie des staphylocoques à coagulase négative, et les streptocoques.
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The functional treatment of pyogenic arthritis of the adult knee. J Bone Joint Surg,57 A A comparison of medical drainage needle aspiration and surgical drainage arthrotomy or arthroscopy in the initial treatment of infected joints.
Clin Rheum Dis,12, South Med J,75, Arthroscopy,4, Orthop Clin North Am,22, Click here septiaue see the Library ][ 6 G septiqhe B: Instillaton of continuous tube irrigation in the septic knee at arthroscopy. Clin Orthop, Treatment of septic arthritis. Comparison of needle aspiration and surgery as initial modes of joint drainage. Arthritis Rheum,18, Arthroscopic debridement of the knee for septic arthritis. Click here to see the Seltique ][ 9 J ackson R: The septic knee – arthroscopic treatment.
Arthroscopy,1, Acta Orthop Belg,61, Bacterial suppurative arthritis in the adult. J Bone Joint Surg,A, Pyoarthrosis of the knee.
Antibiotic penetration into the infected knee. Acta orthop Scand,58, Click here to see the Library ][ 14 N elson JD: Antibiotic concentrations in septic joint effusion. N Engl J Med, Click here to see the Library ] ].
Le recul moyen est de 21 mois. The goal of this study was to determine the place and the limit of the arthroscopic management of septic knee arthritis. This procedure is an alternative treatment to needle aspiration and to open arthrotomy drainage.
Sixteen adult patients were treated between and for pyogenic septic arthritis of the knee. The duration of symptoms prior to arthroscopic debridement was 4. In 8 patients the infection was hematogenous. All the patients were treated by arthroscopic debridement and irrigation of the knee.
A partial synovectomy of the anterior compartment was carried out in 4 cases in which the infection diagnosis was delayed.
In 6 patients with resistant germ or early unfavorable course clinically or biologicallyan early iterative arthroscopy was performed between 2 and 7 days after the first procedure. The medical treatment consisted in a double systemic antibiotherapy for an average duration of 4 weeks, followed by oral treatment for 3 weeks.
The patients were encouraged to mobilize their knee as soon as C Reactiv Protein was normal average 3 weeks, 0 to The average follow up was Two elderly patients died, one directly related to knee infection.
One patient with prior patella osteosynthesis had a recurrent infection 10 months after the arthroscopy. Thirteen out of 14 patients had an excellent or good functional result.
Arthroscopic drainage is a valuable alternative procedure for the treatment of the septic arthritis. Arthroscopic treatment leads to a more effective infectious result than needle aspiration procedure and the functional result is better than with open drainage.
Septic arthritis in the elderly or in patients with multiple organ failure have a poor prognosis. The treatment of pyoarthrosis of the knee must be aggressive and we frequently propose an iterative arthroscopic drainage, specially in case of delayed treatment, early unfavorable course or multiresistant germ.
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Iconography : L’arthrite septique du genou – EM|consulte
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Report of 16 cases.