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KMID : 0828620080120010053
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Journal of Korean Arthroscopy Society
2008 Volume.12 No. 1 p.53 ~ p.57
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Clinical Results after Arthroscopic Treatment in Acute Pyogenic Arthritis of the Knee
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Lee Jung-Hwan
Yoon Kyoung-Ho
Kim Jeong-Weon
Park Soo-Yeon
Bae Dae-Kyung
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Abstract
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Purpose: We analyzed the clinical results after arthroscopic treatment in acute pyogenic arthritis of the knee.
Material and Methods : From July 2000 to January 2005, we reviewed 16 cases (15 patients) of acute pyogenic arthritis of the knee on which arthroscopic treatment was done. The mean age was 61.9 years and the mean follow-up period was 30.5 months. There were 8 cases with diabetes or degenerative osteoarthritis and 14 cases with acupuncture or intraarticular injection history.
Results: Causative organisms were identified in 7 cases. The average postoperative antibiotics were used intravenously for 25.5 days and per orally for 22.5 days. There were 11 complications; 5 cases of partial ankylosis, 2 cases of secondary arthritis, 1 case of chronic osteomyelitis and 3 cases of death. Patients with over 3 week immobilization had higher rate of stiffness of knee joint (p=0.032) but there was no significant difference between the symptom to treatment duration and the incidence rate of complications (p=0.293). The cases of which the causative organism was detected had higher incidences of complications (p=0.034).
Conclusion:The incidence of joint stiffness was higher in the patients of longer immobilization. More complications were detected in the cases of which the causative organism is detected.
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KEYWORD
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knee joint, acute pyogenic arthritis, arthroscopy, complication
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