Bhoge Shruti S, Samal Subrat
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Sep 19;15(9):e45550. doi: 10.7759/cureus.45550. eCollection 2023 Sep.
Septic arthritis is an orthopaedic emergency associated with poor prognosis in cases with delayed treatment. The standard routes through which the infection spreads are hematogenous and direct entry. Any delay in medicine could mean the patient facing severe joint destruction, limitation in joint range, and inability to do activities of daily living. Septic arthritis is treated with a multidisciplinary approach in which physiotherapy is essential in making patients functionally independent. This article discusses a 58-year-old male patient with pain and swelling in the right knee joint and difficulty doing activities like walking, squatting and climbing stairs. On further investigations and diagnostic arthroscopy, he was diagnosed with septic/pyogenic arthritis caused by Staphylococcus aureus in the right knee. The patient was being treated with antibiotics. Along with it, patient-tailored physiotherapy rehabilitation, including, but not limited to, strengthening, range of motion (ROM) exercises, endurance training, etc., was also given, which proved highly effective at enhancing the patient's functional independence and quality of life. The outcome measure used in this report is the Knee Injury and Osteoarthritis Outcome Score (KOOS).
化脓性关节炎是一种骨科急症，治疗延迟的病例预后较差。感染传播的标准途径是血源性和直接侵入。治疗的任何延迟都可能意味着患者面临严重的关节破坏、关节活动范围受限以及无法进行日常生活活动。化脓性关节炎采用多学科方法治疗，其中物理治疗对于使患者功能独立至关重要。本文讨论了一名58岁男性患者，其右膝关节疼痛肿胀，行走、下蹲和爬楼梯等活动困难。经过进一步检查和诊断性关节镜检查，他被诊断为右膝由金黄色葡萄球菌引起的化脓性/脓性关节炎。该患者正在接受抗生素治疗。与此同时，还给予了针对患者的物理治疗康复，包括但不限于强化训练、活动范围（ROM）锻炼、耐力训练等，这在提高患者的功能独立性和生活质量方面被证明非常有效。本报告中使用的结果指标是膝关节损伤和骨关节炎结果评分（KOOS）。
