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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 1, 39-42.
doi: 10.1302/0301-620X.86B1.14399  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Arthroscopic debridement in the treatment of the infected total knee replacement

P. Dixon, MB BCh, FRCS (Orth), Clinical Research Fellow; E. N. Parish, MHSc, Research Assistant; and M. J. Cross, OAM, MB BS, MD, FRACS, Orthopaedic Surgeon

The Australian Institute of Musculoskeletal Research, 286 Pacific Highway, Crows Nest, Sydney 2065, Australia.

Correspondence should be sent to Mr P. Dixon at the Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK.

Infection is a potentially disastrous complication of total knee replacement (TKR). Retention of the prosthesis has been associated with high rates of persistent infection. Our study shows that in selected situations, arthroscopic debridement may allow retention of the prosthesis and eradication of the infection. However, the prosthesis must be stable, the surgical technique must be meticulous and specific antibiotics must be taken for a lengthy period. Arthroscopic debridement should be considered as an alternative to an open technique, or revision, for the infected TKR.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General