Arthroscopic treatment of septic arthritis of the knee in adults

성인의 화농성 슬관절염의 관절경적 치료

  • Kyung Hee-Soo (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University) ;
  • Ihn Joo-Chul (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University) ;
  • Oh Chang-Wug (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University) ;
  • Kim Sung-Jung (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University) ;
  • Kim Joon-Woo (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University)
  • 경희수 (경북대학교 의과대학 정형외과학교실) ;
  • 인주철 (경북대학교 의과대학 정형외과학교실) ;
  • 오창욱 (경북대학교 의과대학 정형외과학교실) ;
  • 김성중 (경북대학교 의과대학 정형외과학교실) ;
  • 김준우 (경북대학교 의과대학 정형외과학교실)
  • Published : 2002.06.01

Abstract

Purpose : The purpose was to assess the result of arthroscopic management of the septic arthritis on the knee in compromised patients. Materials and Methods : Fourteen patients with septic knee were analyzed. The mean age was 55 years and the mean follow-up period was 14.6 months. Underlying diseases included 4 cases of diabetes, and history of direct acupuncture in 4 cases. Clinical stage of septic arthritis was judged by $G\ddot{a}chter's$ classification, which was determined by arthroscopic findings. After arthroscopic irrigation and debridement, we observed the results of laboratory data and improvement of clinical findings. Results : Causative organism was identified in 7 cases and no organism was detected in the remaining 7 cases. Stage I was 1, stage II 8, stage III 4, and stage IV 1, respectively. Eleven of 14 cases were improved by one stage operation. Two cases of stage III were recurred and additional arthroscopic management was done. In 1 case of stage IV, symptom was not improved and needed arthrotomy. The result was unsatisfactory in patients with stage III and IV. Serum erythrocyte sedimentation rate and C-reactive protein were normalized after 29.3 and 20.8 days following the operation, respectively. Clinical symptoms disappeared average 2 days following the operation. Conclusion : Arthroscopic management of acute septic arthritis of the knee would be an effective and satisfactory treatment modality in that its postoperative pain and complications are minimal, and it can be done with ease repeatedly.