Knee Surg Relat Res 2010 Sep; 22(3): 141-146  
Review Articles : Treatment of Infected Total Knee Arthroplasty
하철원 ( Chul Won Ha ), 나상은 ( Sang Eun Na ), 이성훈 ( Sung Hun Lee )
© Korean Knee Society. All rights reserved.

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Deep infection after total knee arthroplasty (TKA) represents a significant treatment challenge with the possibility of disastrous consequences. The rate of deep infection rate after TKA was reported to be 1.3∼2.9% in the past. With the improvements of the operation environment and operative technique and the use of prophylactic antibiotics and antibiotic-mixed bone cement, the rate of deep infection was recently reported to be 0.5∼1%. The goal of treatment of a periprosthetic TKA infection is the restoration of a painless, well-functioning joint, with eradication of the infection. Yet the outcome is not always favorable, and the end result could be an arthrodesis, amputation or a pseudoarthrodesis. In some instance, the only realistic option is to suppress the infection with continued oral antibiotics while simultaneously retaining the prosthesis. Two-stage resection arthroplasty remains the standard treatment for chronic periprosthetic infection. Early deep infection may be treated with aggressive debridement and intravenous antibiotics without removal of the implant. Two-stage reimplantation after removal of the implant is most important for the treatment of chronic infection.
Keywords: 슬관절 전치환술, 감염, 수술적 치료, 비수술적 치료, Total knee arthroplasty, Infection, Surgical treatment, Nonsurgical treatment


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