ArticleKnee surgery & related research2017
Efficacy of Open Debridement and Polyethylene Exchange in Strictly Selected Patients with Infection after Total Knee Arthroplasty.
Article in Knee surgery & related research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Debridement, antibiotics, and implant retention for periprosthetic knee infections: a pooling analysis of 1266 cases.Journal of orthopaedic surgery and research · 2019Pooled it
- Treatment of the infected total knee replacement combining DAIR with continuous local antibiotic perfusion: a preliminary case report series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Isolated Polyethylene Exchange in Revision Total Knee Arthroplasty: A Review of Indications and Outcomes.Journal of clinical medicine · 2025Review
- The Economics of Revision Arthroplasty for Periprosthetic Joint Infection.Arthroplasty today · 2023Article
- Principles of mechanical and chemical debridement with implant retention.Arthroplasty (London, England) · 2023Review
- Periprosthetic Knee Infection - Part 2: Treatment.Revista brasileira de ortopedia · 2022Article
- A novel open synovectomy technique using an arthroscopy shaver blade in revision surgery to treat infected total knee arthroplasty: a technical note.Journal of orthopaedic surgery and research · 2022Article
- Debridement and implant retention in acute hematogenous periprosthetic joint infection after knee arthroplasty: a systematic review.Orthopedic reviews · 2022Review
- Contemporary outcomes of debridement, antibiotics and implant retention in knee arthroplasty.Annals of joint · 2022Review
- Late Acute Hematogenous Infections after Total Knee Arthroplasty: Results of Debridement, Antibiotics, and Implant Retention.The archives of bone and joint surgery · 2021Review
- Direct-Contact Low-Frequency Ultrasound and Pulse Lavage Eradicates Biofilms on Implant Materials In Vitro.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Observational
- [Revision surgery in acute periprosthetic knee joint infections].Operative Orthopadie und Traumatologie · 2018Review
- A decision analysis of treatment strategies for acute periprosthetic joint infection: Early irrigation and debridement versus delayed treatment based on organism.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To assess the efficacy of open debridement and polyethylene exchange (ODPE) combined with proper antibiotic therapy in strictly selected patients with infection after total knee arthroplasty (TKA) and analyze factors associated with treatment failure. Materials and Methods: From January 2010 to January 2014, 25 cases that underwent ODPE under the diagnosis of infection within four weeks after TKA or acute hematogenous infection within five days of symptom onset were reviewed in this study. Results: Treatment was successful in 22 out of 25 cases (88.0%). Factors associated with failure were accompanying infection (periprosthetic infection in the ipsilateral foot, cervical parotid abscess, and masticator space abscess) and diagnosis of rheumatoid arthritis (RA) before TKA. Resistant bacteria did not entail a risk. On clinical results, the mean postoperative Lysholm score and Korean Knee score were 81.4 and 79.4, respectively, the knee range of motion was 115.4°±12.9°, and duration of hospitalization was 32.3±8.4 days. On radiographic results, 3.47±1.56 mm joint line elevation and a valgus change of 0.61°±2.35° in knee alignment were observed. Conclusions: ODPE combined with appropriate antibiotics therapy could be a useful treatment method for infection after TKA if the procedure is performed within a symptom duration of five days or less in the absence of accompanying infection in patients whose indication for TKA was not RA.
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