Le infezioni tardive delle artroprotesi di ginocchio

Translated title of the contribution: Late infectious after total knee replacements

R. Mora, F. Benazzo, U. Di Castri, E. Finardi, A. Belluati, L. Pedrotti, R. Martinelli

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Infection is one of the major complications of a total knee arthroplasty, and can be associated with implant failure. In the diagnosis of late infections, clinical presentation, laboratory studies and instrumental findings are rarely helpful, and cultures of the bone and synovial biopsy are the most reliable examinations in order to make the etiological diagnosis. The goal in the treatment is the control or eradication of the infection, resulting in a functional lower limb without sepsis. There are few acceptable management options, at the extremes of which are antibiotics alone or amputation, but the treatment programs most commonly used are removal of the implant followed by arthrodesis or by one-stage or two-stage reimplantation. Arthrodesis or two-stage reimplantation were performed in 80% of the cases treated for infected total knee arthroplasty over a ten-year period from 1985 to 1994 at the Institute of Orthopaedics of the University of Pavia. Results were good, especially in cases treated with the technique of delayed exchange arthroplasty and the implant of an antibiotic-impregnated polymethylmethacrylate spacer block during the exchange interval, which appears to be a valid salvage option in the approach to late infections of total knee replacements.

Original languageItalian
Pages (from-to)467-471
Number of pages5
JournalMinerva Ortopedica e Traumatologica
Volume49
Issue number12
Publication statusPublished - 1998

Fingerprint

Knee Replacement Arthroplasties
Replantation
Arthrodesis
Infection
Anti-Bacterial Agents
Delayed Diagnosis
Polymethyl Methacrylate
Amputation
Arthroplasty
Orthopedics
Lower Extremity
Sepsis
Biopsy
Bone and Bones
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Mora, R., Benazzo, F., Di Castri, U., Finardi, E., Belluati, A., Pedrotti, L., & Martinelli, R. (1998). Le infezioni tardive delle artroprotesi di ginocchio. Minerva Ortopedica e Traumatologica, 49(12), 467-471.

Le infezioni tardive delle artroprotesi di ginocchio. / Mora, R.; Benazzo, F.; Di Castri, U.; Finardi, E.; Belluati, A.; Pedrotti, L.; Martinelli, R.

In: Minerva Ortopedica e Traumatologica, Vol. 49, No. 12, 1998, p. 467-471.

Research output: Contribution to journalArticle

Mora, R, Benazzo, F, Di Castri, U, Finardi, E, Belluati, A, Pedrotti, L & Martinelli, R 1998, 'Le infezioni tardive delle artroprotesi di ginocchio', Minerva Ortopedica e Traumatologica, vol. 49, no. 12, pp. 467-471.
Mora R, Benazzo F, Di Castri U, Finardi E, Belluati A, Pedrotti L et al. Le infezioni tardive delle artroprotesi di ginocchio. Minerva Ortopedica e Traumatologica. 1998;49(12):467-471.
Mora, R. ; Benazzo, F. ; Di Castri, U. ; Finardi, E. ; Belluati, A. ; Pedrotti, L. ; Martinelli, R. / Le infezioni tardive delle artroprotesi di ginocchio. In: Minerva Ortopedica e Traumatologica. 1998 ; Vol. 49, No. 12. pp. 467-471.
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