Effect of Arthroscopy on Diagnosing and Treating Suppurative Arthritis of Knee Joint_West China Medical Journal

Authors：

 ZhangJihong ,  WangXiaojuan , WuWuzhou , LiuYi , DangHongsheng , WangBo

The Fifth Ward of Orthopedic Surgery, Taihe Hospital of Shiyan (Hospital Affiliated to Hubei University of Medicine), Shiyan, Hubei 442000, P. R. China;

Corresponding?author：

WangXiaojuan, Email: 395300799@qq.com

Keywords：

Knee joint; Suppurative; Osteoarthritis; Arthroscopy

DOI：

10.7507/1002-0179.201600185

Video：

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Objective To explore the effect of arthroscopy on diagnosing and treating suppurative arthritis of knee joint. Methods The clinical data of 22 patients with suppurative arthritis of knee joint diagnosed between January 2012 and December 2013 were analyzed retrospectively, including 13 males and 9 females with the age of 7-56 years (average 28.5 years). The duration of disease history was from 7 days to 4.5 months with the average of 2.8 months. All of the patients had swelling, pain, and limitation of motion of the knee joint in different degrees. Among them, 20 patients were diagnosed definitely and remaining 2 were osteoarthritis with atypical infections. Patients were investigated by Lysholm questionnaires during the follow-up period. Results All of the 22 patients were followed up for 3-10 months with the average of 8.5 months. The diagnosis was confirmed by pathological and arthroscopic examination after the surgery, and no recurrence was found. Lysholm score ranged from 77 to 99 with the average of 92.8. Only 1 patient had the motion range of 10-40°of the knee joint after several treatment. Conclusion Early arthroscopic treatment for suppurative arthritis of knee joint with continuous postoperati ve lavage and irrigation combined with comprehensive physiotherapy and rehabilitation has the advantages of high efficacy, maximum recovery of knee function, and quick recovery, which should be promoted in the clinical application

Citation： ZhangJihong, WangXiaojuan, WuWuzhou, LiuYi, DangHongsheng, WangBo. Effect of Arthroscopy on Diagnosing and Treating Suppurative Arthritis of Knee Joint. West China Medical Journal, 2016, 31(4): 675-678. doi: 10.7507/1002-0179.201600185 Copy

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1. ?唐康來, 楊柳, 李起鴻. 關節鏡下清理及術后持續灌洗治療化膿性膝關節炎[J]. 中國矯形外科雜志, 2003, 11(3): 204-206.
2. Nade S. Acute septic arthritis in infancy and childhood[J]. J Bone Joint Surg Br, 1983, 65(3): 234-241.
3. Wirtz DC, Marth M, Miltner O, et al. Septic arthritis of the knee in adults: treatment by arthroscopy or arthrotomy[J]. Int Orthop, 2001, 25(4): 239-241.
4. Ogilvie-Harris DJ, Fitsialos DP. Arthroscopic management of the degenemative knee[J]. Arthroscopy, 1991, 7(2): 151-157.
5. Canale ST, Beaty JH. 坎貝爾骨科手術學[M]. 王巖, 蔡谞, 李眾利, 等, 譯. 11版. 北京: 人民軍醫出版社, 2009: 589-592.
6. 趙金忠, 蔣垚, 沈灝, 等. 通過關節鏡技術治療早期膝關節化膿性關節炎[J]. 中華骨科雜志, 2002, 22(8): 474-476.
7. 敖英芳, 劉玉杰, 崔國慶, 等. 膝關節鏡手術學[M]. 北京: 北京大學醫學出版社, 2004: 51.
8. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J]. Am J Sports Med, 1982, 10(3): 150-154.
9. 張抒, 張強, 張軍, 等. 關節鏡下治療急性化膿性膝關節炎[J]. 中國矯形外科雜志, 2006, 14(1): 73-74.
10. Johnson MW. A cutek neeef usions: a systematicapp roac htod iagnosis[J]. Am Fam Physician, 2000, 61(8): 2391-2400.
11. Morrey BF, Marth M, Milmer O, et al. Septic arthritis in children[J]. Orthop Clin North Am, 1975, 6(4): 923-934.
12. 王創利, 朱賢, 王黎明. 關節鏡清理加置管沖洗治療急性化膿性膝關節炎 21例療效觀察[J]. 蘇州大學學報: 醫學版, 2004, 24(5): 725, 727.
13. 楊蒙. 雙管閉式灌洗治療化膿性膝關節炎21例[J]. 臨床骨科雜志, 2004, 7(2): 224-225.
14. 肖謙, 向芳友, 劉志遠. 關節鏡下清理及術后持續灌洗引流治療膝關節骨性關節炎并化膿感染[J]. 南華大學學報: 醫學版, 2007, 35(5): 732-734.
15. 孫羽, 劉其明. 關節鏡技術在化膿性膝關節炎治療中的應用[J]. 臨床骨科雜志, 2008, 11(3): 259-261.
16. 陳瓊, 任樂夫. 化膿性膝關節炎關節鏡下治療[J]. 中國醫療前沿, 2008, 3(18): 54-55.

West China Medical Journal

Effect of Arthroscopy on Diagnosing and Treating Suppurative Arthritis of Knee Joint

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