Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Arthrotomy versus arthroscopy in the treatment of septic arthritis of the knee in adults: a randomized clinical trial.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- 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
- Failure rates in surgical treatment in adults with bacterial arthritis of a native joint: a systematic review of 8,586 native joints.Archives of orthopaedic and trauma surgery · 2023Pooled 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
- 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
- The impact of surgical timing on reoperation after arthroscopic versus open treatment of acute native knee septic arthritis.International orthopaedics · 2026Article
- Surgical and Functional outcome of Infective Knee Operated with Arthrotomy.Journal of orthopaedic case reports · 2026Article
- Primary septic arthritis in the elderly - a forgotten killer? Five-year survival and risk factors in a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Superoxide solution irrigation for septic arthritis: a prospective clinical study of efficacy and a widened therapeutic window.Frontiers in medicine · 2026Article
- 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
- Survival and risk factor analysis in patients with septic arthritis: a retrospective study of 192 cases.BMC infectious diseases · 2025Article
- Tolerability of N-chlorotaurine in comparison with routinely used antiseptics: an in vitro study on chondrocytes.Pharmacological reports : PR · 2024Article
- Arthroscopy or arthrotomy for native knee septic arthritis: A systematic review.Journal of experimental orthopaedics · 2024Article
- Single-Stage Arthroscopic Cartilage Repair With Chondrectomy and Implantation of a Templated Membrane Collagen Scaffold With Bone Marrow Aspirate Concentrate Augmentation (AMIC Plus).Arthroscopy techniques · 2023Article
- ESSKA and EBJIS recommendations for the management of infections after anterior cruciate ligament reconstruction (ACL-R): prevention, surgical treatment and rehabilitation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Arthroscopic versus open irrigation and debridement in native knee septic arthritis: A retrospective review.Journal of clinical orthopaedics and trauma · 2023Article
- S. AUREUS IS ASSOCIATED WITH A GREATER NEED FOR REOPERATION IN SEPTIC ARTHRITIS OF THE KNEE.Acta ortopedica brasileira · 2023Article
- Review of Intra-Articular Use of Antibiotics and Antiseptic Irrigation and Their Systematic Association with Chondrolysis.Kansas journal of medicine · 2023Review
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the efficacy of treatment and functional recovery of patients diagnosed with septic arthritis of the knee submitted to two surgical techniques: conventional arthrotomy and arthroscopic approach for debridement.
methodIn this prospective clinical study, all adult patients diagnosed with knee pyoarthritis in a 15-month period at a philanthropic hospital in Brazil were randomized into two groups: one group submitted to arthrotomy and the other to arthroscopy. The protocols of antibiotic therapy, physical therapy and postoperative assessment were standardized in both groups. Demographic, clinical, functional and laboratorial variables were compared between groups, with a minimum follow-up of 24 months.
resultsThere was no difference in effectiveness of treatment in both groups, but 2 patients (18.2 %) of the arthrotomy group needed a new approach. The pain was higher in those undergoing treatment by arthrotomy, at 7 and 14 days postoperatively. The return to activities of daily living took an average of 5.7 days for both groups: 7.1 days for the arthrotomy group and 4.3 days for arthroscopy group.
conclusionIt was found that the treatment of knee septic arthritis by both techniques showed similar effectiveness in healing, but the arthroscopy procedure was better than arthrotomy because it has a lower reinfection rate and low initial inflammatory reaction. LEVEL OF EVIDENCE: Therapeutic studies, Level I.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.