Borden L S, Gearen P F
J Arthroplasty. 1987;2(1):27-36. doi: 10.1016/s0883-5403(87)80028-1.
All cases of deep wound infection following total knee arthroplasty presented to the senior author between April 1977 and February 1984 were reviewed in an attempt to develop a protocol for salvaging a functional, painless knee. Two of 23 knees were eliminated because of extensive soft tissue loss. The remaining 21 infected total knee arthroplasties were analyzed. A determination of the chronicity of the infection and an evaluation of any radiolucencies were essential in determining the type of treatment used. Three distinct methods of surgical management were identified: radical debridement with retention of the initial prosthesis, one-stage reimplantation, and two-stage reimplantation. A functional uninfected total knee arthroplasty was salvaged in 18 of 21 patients, with an average follow-up period of 46 months.
回顾了1977年4月至1984年2月间提交给资深作者的全膝关节置换术后所有深部伤口感染病例，试图制定一套挽救功能正常、无痛膝关节的方案。23例膝关节中有2例因广泛软组织缺损而被排除。对其余21例感染的全膝关节置换术进行了分析。确定感染的慢性程度以及评估任何透射线情况对于确定所采用的治疗类型至关重要。确定了三种不同的手术处理方法：保留初始假体的根治性清创术、一期再植入和二期再植入。21例患者中有18例成功挽救了功能正常且未感染的全膝关节置换术，平均随访期为46个月。
