Tratamiento artroscópico de la artritis séptica en un paciente. (Inglés)

Tratamiento artroscópico de la artritis séptica en un paciente con estabilización posterior en artroplastia total de rodilla.

Gert K. Polzhofer, M.D.a * [MEDLINE LOOKUP] Joachim Hassenpflug, M.D.a [MEDLINE LOOKUP] Wolf Petersen, M.D.a [MEDLINE LOOKUP]

Abstract TOP

We report on a case of arthroscopic treatment of septic arthritis of the knee in a 73-year-old woman with a posterior stabilized knee endoprosthesis. Six months after arthroplasty of the right knee joint because of osteoarthritis, the patient experienced an erysipelas of the right lower leg after a cat bite. Although given intravenous antibiotic therapy, the patient developed septic arthritis of the right knee. Pasteurella multocida could be identified as the causative organism. The joint infection was classified as stage I according to Gächter. Via arthroscopic joint debridement, partial synovialectomy, the use of continuous irrigation-suction drains, and intravenous antibiotic therapy, the empyema could be cured without removal of the total endoprosthesis of the right knee.

The Jorunal of Arthroscopic & Related Surgery. March 2004. Volume 20. Number 3