Purpose: to review the results of one-step exchange in the infected total knee arthroplasty | Revista Española de Cirugía Ortopédica y Traumatología (English Edition)

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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Purpose: to review the results of one-step exchange in the infected total knee a...

ISSN: 1988-8856

The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty.
In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim; the publication of the best original research articles in Spanish. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics.
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Vol. 54. Issue 1.

Pages 39-43 (January - February 2010)

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Vol. 54. Issue 1.

Pages 39-43 (January - February 2010)

Original papers

DOI: 10.1016/S1988-8856(10)70209-1

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Purpose: to review the results of one-step exchange in the infected total knee arthroplasty

Recambio en un tiempo para la infección periprotésica de la rodilla

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F. Pérez-Villar

Corresponding author

ferranperez@pulso.com

Corresponding author.

, J.F. Moscoso-González, J.M. Orán-Espuys, M. Rocha-Solé, J.J. Fernández-Martínez

Orthopaedic Surgery and Traumatology department, Arnau de Vilanova Hospital of Lleida, Lleida, Spain

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Abstract

Purpose

To review the results of one-step exchange in the infected total knee arthroplasy.

Materials and method

Restrospective study of 16 patients with a mean follow-up of 7 years. We studied the comorbidity of the patients, infection classification, microrganisms and clinical evaluation of the knee. We applied the Knee Score and Functional Score of the American Knee in order to carry out the corresponding clinical assessment and radiological study.

Results

In 14 patients (87,5%) the infection was eliminated with a good clinical and functional result (KS=80,78 and KSF=75,07). In the two remaining cases reinfections was caused by staphylococcus epidermidis.

Conclusions

One-step reimplantion is a good option for the treatment of infected total knee arthroplasty.

Keywords:

Knee

Infected total knee arthroplasty

One-step exchange

Resumen

Objetivo

Valorar el resultado del recambio en un tiempo en el tratamiento de la infección protésica de la rodilla.

Material y método

Se efectuó una revisión retrospectiva de 16 pacientes con un seguimiento medio de 7 años. Se valoró la comorbilidad del paciente, el tipo de infección, el germen y la evolución clínica de la rodilla. Se aplicó el Knee Society Score (KSS) y el Knee Society Function Score (KSF) de la American Knee Society para su valoración clínica y el estudio radiográfico correspondiente.

Resultados

Se curó a 14 pacientes (87,5%) con unos resultados clínicos y funcionales muy satisfactorios (KSS=80,78 y KSF=75,07). El germen causal de las 2 reinfecciones fue el Staphylococcus epidermidis.

Conclusiones

El recambio en un tiempo es una opción terapéutica válida para el tratamiento de la infección protésica, siempre que se indique y se efectúe de forma rigurosa.

Palabras clave:

Rodilla

Prótesis total de la rodilla infectada

Recambio en un tiempo

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