ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2007
Results of treatment of septic knee arthritis: a retrospective series of 40 cases.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Does arthroscopic or open washout in native knee septic arthritis result in superior post-operative function? A systematic review and meta-analysis of randomised controlled trials and observational studies.Systematic reviews · 2024Pooled it
- The eradication rate of infection in septic knee arthritis according to the Gächter Classification: a systematic review.Orthopedic reviews · 2022Pooled it
- Comparison of open arthrotomy versus arthroscopic surgery for the treatment of septic arthritis in adults: a systematic review and meta-analysis.International orthopaedics · 2021Pooled it
- Similar Efficacy of Arthroscopy and Arthrotomy in Infection Eradication in the Treatment of Septic Knee: A Systematic Review and Meta-Analysis.Frontiers in surgery · 2021Pooled it
- Recommendations for the management of septic arthritis after ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Pooled it
- Consequences of Delaying Surgical Intervention in Patients With Native Joint Septic Arthritis.Open forum infectious diseases · 2025Trial
- Efficacy of a six-portal arthroscopic technique in managing acute septic arthritis of the native knee: A retrospective cohort study in a tertiary orthopaedic department.Journal of experimental orthopaedics · 2026Article
- Pan-PCR Diagnostic Efficacy in Comparison with Traditional Methods in Patients with Septic Arthritis.Iranian journal of pathology · 2026Article
- Arthroscopy Versus Open Arthrotomy for Septic Arthritis of the Wrist: A Nationwide Inpatient Sample Analysis of 1,065 Cases.Journal of hand surgery global online · 2026Article
- Superoxide solution irrigation for septic arthritis: a prospective clinical study of efficacy and a widened therapeutic window.Frontiers in medicine · 2026Article
- One-Stage Primary Total Knee Arthroplasty as the Treatment of Acute Septic Arthritis of the Native Osteoarthritic Knee: Report of 3 Cases and Review of Literature.Arthroplasty today · 2025Article
- A comparison of arthroscopy combined with continuous irrigation, arthroscopic debridement alone, and open arthrotomy for the treatment of septic arthritis of the native knee.BMC musculoskeletal disorders · 2025Article
- Risk Factors for Failure to Eradicate Infection after Single Arthroscopic Debridement in Septic Arthritis of a Native Knee Joint.Yonsei medical journal · 2025Article
- Comparison of the results of medical approach and surgical approach of septic arthritis in native joints: a single-center retrospective study.BMC musculoskeletal disorders · 2024Article
- Neonatal Septic Arthritis with Acyanotic CHD: A Case Study.Journal of orthopaedic case reports · 2024Article
- Effect of Antibiotic Administration Before Joint Aspiration on Synovial Fluid White Blood Cell Count in Native Joint Septic Arthritis.Open forum infectious diseases · 2024Article
- Atypical mycobacterium infection following anterior cruciate ligament reconstruction.BMJ case reports · 2023Article
- S. AUREUS IS ASSOCIATED WITH A GREATER NEED FOR REOPERATION IN SEPTIC ARTHRITIS OF THE KNEE.Acta ortopedica brasileira · 2023Article
- An update on recent progress of the epidemiology, etiology, diagnosis, and treatment of acute septic arthritis: a review.Frontiers in cellular and infection microbiology · 2023Review
- Clinical Efficacy of the Antibiotic-Loaded Collagen Sponge During Arthroscopic Treatment of Acute Septic Arthritis of the Native Knee.Orthopaedic journal of sports medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We studied a consecutive series of 40 patients presenting a septic knee arthritis, with a mean age of 49 +/- 20 (range 19-81) years. The aetiologies were: 18 postoperative arthritis, 12 haematogenous infections, 7 arthritis following aspiration or infiltration, and 3 articular wounds. The most common organisms were Staphylococcus aureus and epidermidis (23 cases). Surgical procedures consisted in 20 arthroscopic debridements, 6 open debridements, 14 synovectomies. According to Gächter's classification, there were 8 stage I, 18 stage II, 11 stage III and 3 stage IV cases. Fifteen patients had to be reoperated after the index procedure at our institution: one open debridement, six open synovectomies, one open arthrolysis, one arthrodesis and six total knee arthroplasties (TKA). Final examination was performed after 22 +/- 26 (range 12-96) months. All cases were considered free of infection. Good functional result was present by 19/33 cases (excluding arthrodesis and TKA). The delay between the onset of symptoms and surgery was the major prognostic factor of success (P=0.023). This delay was correlated with Gächter's staging of the intra-articular lesions. The diagnosis of septic knee arthritis must be suspected at the early stage of the disease, and diagnostic joint aspiration must be immediately performed when the diagnosis is suspected. We suggest that the treatment should be more aggressive than generally advocated. Needle aspiration should be only performed at the very early stages. Arthroscopic debridement should be the routine treatment. Synovectomy should be considered even as a primary procedure when significant synovial hypertrophy is present (Gächter stage III and IV) or when a more conservative treatment did not lead to a fast improvement.
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