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- W2037258368 abstract "Twenty-five infected knee arthroplasties treated during the last 13 years were reviewed with an average follow-up of 2.5 years. Sixteen of the periprosthetic infections occurred in hinged total knee arthroplasties. Rheumatoid arthritis was the main diagnosis, with an average age at time of operation of 69.7 years. Eleven cases were treated by synovectomy and debridement, preserving the primary prosthesis. 11 patients underwent delayed two-stage reimplantation and a one-stage exchange arthroplasty was done twice. Primary arthrodesis was necessary once. The follow-up was based on a clinical and radiological examination. The midterm results of the different surgical procedures are presented and critically discussed with literature review. Surgical debridement to cure periprosthetic knee infection was successful in 7 of 11 joints, restricted to acute infection with low-virulent microorganisms and well-fixed cemented prosthesis. Chronic periprosthetic knee infections should be treated by two-stage delayed reimplantation or one-stage exchange arthroplasty. Both treatment options are part of our management of infected knee arthroplasties. In high-grade infections with virulent microorganisms recurrent infections we prefer a delayed two-stage reimplantation using a spacer prosthesis. Implantation of a temporary spacer prosthesis allows immediate postoperative mobilisation with good functional results. All 8 revision procedures using the spacer prosthesis were successful. We noticed one reinfection in delayed exchange arthroplasty with fixateur externe and antibiotic chains. The management protocol of periprosthetic knee infections, surgery should be well differentiated, taking into account the clinical, bacteriological and intraoperative aspects. Decision to effect salvage procedures in infected knee prosthesis should consider the patients situation and the individual experience of the surgeon." @default.
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- W2037258368 date "1999-10-01" @default.
- W2037258368 modified "2023-10-18" @default.
- W2037258368 title "Die periprothetische Knieinfektion - Therapiekonzept, Wertigkeit und mittelfristige Ergebnisse" @default.
- W2037258368 doi "https://doi.org/10.1055/s-2008-1043564" @default.
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