Effects of Saline Irrigation and Oral Antibiotics Therapy on Acute Presentation of Late Infected Total Knee Arthroplasty

Ji-Hoon Baek, Su Chan Lee, Hye Sun Ahn and Chang Hyun Nam*

Department of Orthopedic Surgery and the Joint & Arthritis Research, Himchan Hospital, Republic of Korea

^*Correspondance to: Chang Hyun Nam 

 PDF  Full Text DOI: 10.25107/2474-1647.2987

Abstract

Purpose: e purpose of our study was to evaluate the eectiveness of the syringe saline irrigation coupled with oral antibiotic management in acute presentation of late infected total knee arthroplasty. Methods: From January 2014 to December 2017, 15 patients with acute presentation of late infected total knee arthroplasty were treated with syringe saline irrigation and oral antibiotics according to bacterial sensitivity or with empiric antibiotics if no bacteria were isolated from the cultures. e medical records were reviewed to determine the eectiveness of the syringe saline irrigation coupled with oral antibiotic management. Results: ere were three men and 12 women, with a mean age of 72.6 years (range, 61 to 79). Ten (67%) patients preserved their total knee prosthesis with an average follow-up of 47 months (range, 29 to 66 months). Five patients failed the saline irrigation protocol and four patients underwent two-stage revision arthroplasty and one patient passed away during the perioperative period aer revision surgery. Methicillin-Resistant Staphylococcus aureus was identied in 2 patients. No complications related to saline irrigation coupled with oral antibiotic therapy were encountered. Conclusion: Syringe saline irrigation coupled with oral antibiotic management is an eective procedure for patients with acute presentation of late infected total knee arthroplasty.

Keywords

Syringe saline irrigation; Antibiotics; Infected total knee arthroplasty; Acute presentation; MRSA

Cite the article

Baek J-H, Lee SC, Ahn HS, Nam CH. Effects of Saline Irrigation and Oral Antibiotics Therapy on Acute Presentation of Late Infected Total Knee Arthroplasty. Clin Surg. 2020; 5: 2987.