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International Orthopaedics

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01-04-2021 | Endoprosthesis | Original Paper

Functional recovery after two-stage short-interval revision of chronic periprosthetic knee joint infection

Authors: Tomislav Madarevic, Antea Buterin, Josko Jelicic, Luka Sirola, Darinka Vuckovic

Published in: International Orthopaedics | Issue 4/2021

Abstract

Purpose

The objective of this study was the functional recovery analysis of patients treated in two-staged short-interval procedure due to knee periprosthetic joint infection (PJI).

Materials and methods

In the period from January 2015 to December 2018, a two-stage short-interval revision TKA was performed in 35 patients with PJI. Synovial fluid analysis, tissue samples and sonication method were used to diagnose PJI. Active range of motion (AROM) and Hospital for Special Surgery (HSS) score were analysed.

Results

Functional recovery analysis demonstrated higher AROM and HSS score after the revision TKA. Median pre-operative active flexion motion was 80° with full active extension, and median post-operative active flexion was 105° with full active extension. Median HSS score pre-operatively was 22 and post-operatively was 48. Isolated bacteria in both tissue and sonication fluid were S. epidermidis (27%) and other coagulase-negative staphylococci (25%), followed by S. aureus (10%).

Conclusion

Two-stage short-interval procedure of chronic knee PJI significantly improved functional status of patients in a short period of time. Thirty three out of 35 patients returned to their everyday activities. Adequate surgical technique and implant selection can lead to satisfactory functional outcome.

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Title: Functional recovery after two-stage short-interval revision of chronic periprosthetic knee joint infection
Authors: Tomislav Madarevic
Antea Buterin
Josko Jelicic
Luka Sirola
Darinka Vuckovic
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Endoprosthesis
Joint Infection
Published in: International Orthopaedics / Issue 4/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04566-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Functional recovery after two-stage short-interval revision of chronic periprosthetic knee joint infection

Abstract

Purpose

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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