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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 172 - 179 (8page)
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Purpose: To assess the efficacy of open debridement and polyethylene exchange (ODPE) combined with proper antibiotic therapy in strictly selected patients with infection after total knee arthroplasty (TKA) and analyze factors associated with treatment failure.Materials and Methods: From January 2010 to January 2014, 25 cases that underwent ODPE under the diagnosis of infection within four weeks after TKA or acute hematogenous infection within five days of symptom onset were reviewed in this study. Results: Treatment was successful in 22 out of 25 cases (88.0%). Factors associated with failure were accompanying infection (periprosthetic infection in the ipsilateral foot, cervical parotid abscess, and masticator space abscess) and diagnosis of rheumatoid arthritis (RA) before TKA. Resistant bacteria did not entail a risk. On clinical results, the mean postoperative Lysholm score and Korean Knee score were 81.4 and 79.4, respectively, the knee range of motion was 115.4°±12.9°, and duration of hospitalization was 32.3±8.4 days. On radiographic results, 3.47±1.56 mm joint line elevation and a valgus change of 0.61°±2.35° in knee alignment were observed.Conclusions: ODPE combined with appropriate antibiotics therapy could be a useful treatment method for infection after TKA if the procedure is performed within a symptom duration of five days or less in the absence of accompanying infection in patients whose indication for TKA was not RA.
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참고문헌 (23)
참고문헌 신청
[학술
Bandyk DF / 1993 / Treatment of bacteria-biofilm graft infection by in situ replacement in normal and immune-deficient states / J Vasc Surg 18 : 398 ~ 405
Buret A / 1991 / An in vivo model to study the pathobiology of infectious biofilms on biomaterial surfaces / J Biomed Mater Res 25 : 865 ~ 874
Classen T / 2009 / Modification of the method of Figgie for determination of joint line shifting in total knee arthroplasty / Radiologe 49 : 533 ~ 537
Cobo J / 2011 / Early prosthetic joint infection : outcomes with debridement and implant retention followed by antibiotic therapy / Clin Microbiol Infect 17 : 1632 ~ 1637
Bandyk DF / 1993 / Treatment of bacteria-biofilm graft infection by in situ replacement in normal and immune-deficient states / J Vasc Surg 18 : 398 ~ 405
Buret A / 1991 / An in vivo model to study the pathobiology of infectious biofilms on biomaterial surfaces / J Biomed Mater Res 25 : 865 ~ 874
Classen T / 2009 / Modification of the method of Figgie for determination of joint line shifting in total knee arthroplasty / Radiologe 49 : 533 ~ 537
Cobo J / 2011 / Early prosthetic joint infection : outcomes with debridement and implant retention followed by antibiotic therapy / Clin Microbiol Infect 17 : 1632 ~ 1637
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