Dixon P, Parish E N, Cross M J
The Australian Institute of Musculoskeletal Research, 286 Pacific Highway, Crows Nest, Sydney 2065, Australia.
J Bone Joint Surg Br. 2004 Jan;86(1):39-42.
Infection is a potentially disastrous complication of total knee replacement (TKR). Retention of the prosthesis has been associated with high rates of persistent infection. Our study shows that in selected situations, arthroscopic debridement may allow retention of the prosthesis and eradication of the infection. However, the prosthesis must be stable, the surgical technique must be meticulous and specific antibiotics must be taken for a lengthy period. Arthroscopic debridement should be considered as an alternative to an open technique, or revision, for the infected TKR.
感染是全膝关节置换术（TKR）一种潜在的灾难性并发症。保留假体与持续感染的高发生率相关。我们的研究表明，在特定情况下，关节镜下清创术可能允许保留假体并根除感染。然而，假体必须稳定，手术技术必须精细，且必须长期服用特定抗生素。对于感染的全膝关节置换术，关节镜下清创术应被视为开放手术或翻修手术的一种替代方法。
