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The Archives of Bone and Joint Surgery، جلد ۸، شماره ۴، صفحات ۰-۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Two -stage total knee arthroplasty for treatment of surgical failure of septic arthritis in degenerative knee joints |
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| چکیده انگلیسی مقاله |
Purpose: The ultimate goal of the treatment of infectious knee arthritis is to protect the articular cartilage from adverse effects of infection. Treatment, however, is not always a hundred percent successful with a 12 % failure rate. Persistent infection is more likely to happen in elderly patients and those with underlying joint diseases, particularly osteoarthritis. Eradication of infection and restoration of function in the involved joint usually are not possible by conventional treatment strategies .There are few case series reporting two-stage primary knee arthroplasty as the salvage treatment of septic degenerative knee joint, however the treatment protocol remains to be elucidated. Methods: Based on an algorithmic approach, patients with failure of common interventions for treatment of septic knee arthritis and underlying joint degeneration were treated by two-stage TKA and intervening antibiotic loaded static cement spacer. Suppressive antibiotic therapy was not prescribed after the second stage. Results: Complete infection eradication was achieved with mean follow up of 26 months. All cases were balanced with primary total knee prosthesis. Knee scores and final range of motions were comparable to other studies. Conclusion: Using two-stage total knee replacement is a good option for management of failure of previous surgical treatment in patients with septic arthritis and concomitant joint degeneration. Our proposed approach enables us to use primary prosthesis in all of our patients with no need for suppressive antibiotic therapy. Key words: Septic knee arthritis ,Total knee replacement , Two stage arthroplasty, Degenerative joint Level of Evidence: IV |
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| کلیدواژه‌های انگلیسی مقاله |
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| نویسندگان مقاله |
| Mohammad Naghi Tahmasebi
Tehran university of medical sciences,Shariati hospital
| Arash Sharafat Vaziri
Tehran University of Medical Sciences
| Seyed Hossein Miresmaeili
Zanjan University of medical sciences
| Mohammad Reza Bozorgmanesh
Tehran University of Medical Sciences
| Seyed Shahin Mirkarimi
Department of knee surgery .tehran university of medical science.shariati hospital.tehran.iran
| Mohammad Javad Zehtab
Tehran university of medical sciences, sina hospital
| Mohammad Tahami
Bone and Joint research center
Shiraz university of medical sciences
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| نشانی اینترنتی |
http://abjs.mums.ac.ir/article_16113.html |
| فایل مقاله |
اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-2470305.pdf |
| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
RESEARCH PAPER |
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