化膿性膝関節炎治療後に二期的に人工膝関節全置換術を施行した 2 例

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We reviewed two patients who underwent total knee arthroplasty after developing septic arthritis of the knee. The first patient was a 68-year-old woman who complained of right knee pain and swelling. At the first visit, pus was drained by arthrocentesis, and Staphylococcus aureus was detected. We performed arthroscopic debridement and closed suction-irrigation for 16 days. Thereafter, there was no recurrence of the septic arthritis. One year after the operation, total knee arthroplasty was performed. Ten years after the arthroplasty operation, knee joint function remains good.The second patient was a 74-year-old woman who complained of left knee pain and swelling. At the first visit, pus was drained by arthrocentesis and methicillin-resistant Staphylococcus aureus was detected. For initial surgery, we performed arthroscopic debridement and closed suction-irrigation for 17 days. Thereafter, septic arthritis recurred, and therefore we performed a second operation for open debridement and closed suction-irrigation for 13 days again. This resolved the septic arthritis, and one year later, total knee arthroplasty was performed. Four months and two weeks after the arthroplasty surgery, knee joint function remains good.We have reviewed two patients who underwent total knee arthroplasty after treatment of septic arthritis of the knee, and achieved good results.
中国・四国整形外科学会の論文