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The outcome of infected arthroplasty of the knee
Abstract
In order to define the predisposing factors and outcome of infected arthroplasty of the knee, a retrospective analysis of a consecutive series of 471 knee arthroplasties was performed. There were 23 cases of superficial wound infection and 25 of deep infection. Superficial wound infection alone resulted in a painfree gait, with little limitation of movement. Rheumatoid arthritis, the use of constrained prostheses and the presence of a superficial wound infection, all predisposed to deep infection. Deep infection was eradicated by long-term antibiotics in only two patients in whom skin cover was successfully provided by a gastrocnemius musculocutaneous flap. Excision of a sinus track, wound debridement and exchange arthroplasty were universally unsuccessful. Arthrodesis, however, in 11 out of 12 cases, provided the painfree gait these patients desire.
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Cited by
Backgrounds of antibiotic-loaded bone cement and prosthesis-related infection
Hendriks, J. G. E., van Horn, J. R., van der Mei, H. C., & Busscher, H. J. (2004) · Biomaterials · doi:10.1016/s0142-9612(03)00554-4 · Cited by 291
Antibiotic prophylaxis for dental patients with total joint replacements
(2003) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2003.0289 · Cited by 265
Gosden, P. E., MacGowan, A. P., & Bannister, G. C. (1998) · Journal of Hospital Infection · doi:10.1016/s0195-6701(98)90255-9 · Cited by 118
Self-citation
Metadata
- Authors
- Johnson, D., & Bannister, G.
- Venue
- The Journal of Bone and Joint Surgery. British volume
- Published
- 1986-03
- Volume
- 68-B
- Issue
- 2
- Pages
- 289-291
- ISSN
- 0301-620X (ISSN-L)
- 2044-5377
- OpenAlex
- W2259198313
- Cited by
- 178
- References
- 0
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- closed
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- Johnson, D., & Bannister, G. (1986). The outcome of infected arthroplasty of the knee. The Journal of Bone and Joint Surgery. British volume. https://doi.org/10.1302/0301-620x.68b2.3958017
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