Infected Total Knee Replacements
- 1 January 1994
- journal article
- Published by Wolters Kluwer Health in Journal of the American Academy of Orthopaedic Surgeons
- Vol. 2 (1), 44-53
- https://doi.org/10.5435/00124635-199401000-00006
Abstract
Deep infection is a devastating complication following total knee arthroplasty. Prompt diagnosis and definitive treatment of this complication are essential for a successful outcome. The treatment options for an infected total knee replacement include (1) antibiotic suppression alone; (2) aggressive wound debridement, drainage, and antibiotic suppression therapy; (3) resection arthroplasty; (4) arthrodesis; (5) two-stage reimplantation; and (6) amputation. Successful salvage of this complication can be accomplished only by extensive investment of surgical and infectious disease efforts in eradicating the infection. Two-stage reimplantation has been the most successful functional option and should be used whenever possible to definitively eradicate the infection and ensure good function of the knee joint.Keywords
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