Infectious Complication of Revision Knee Replacement

The article presents the case of the patient having an infectious complication in the area of the endoprosthesis after performing revision knee replacement. Revision surgery was performed six months after the primary knee replacement due to the instability of the components of the endoprosthesis. In...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	S. N. Leonova, A. L. Kameka, A. N. Grishchuk
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	revision knee replacement infectious complication prognostic factors Science Q
Acceso en línea:	https://doaj.org/article/99a078efba5047a98017706867e4556d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:99a078efba5047a98017706867e4556d
record_format	dspace
spelling	oai:doaj.org-article:99a078efba5047a98017706867e4556d2021-11-23T06:14:43ZInfectious Complication of Revision Knee Replacement2541-94202587-959610.29413/ABS.2019-4.6.10https://doaj.org/article/99a078efba5047a98017706867e4556d2019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2199https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article presents the case of the patient having an infectious complication in the area of the endoprosthesis after performing revision knee replacement. Revision surgery was performed six months after the primary knee replacement due to the instability of the components of the endoprosthesis. In analyzing the case of an infectious complication, a six-point risk factor for the development of infectious complications was given taking into consideration the following factors: body mass index; ASA physical status evaluation; the presence of diabetes mellitus, concomitant systemic diseases; the presence of allergic reactions; the presence of previous operations on the joint; index of the ratio of segmented neutrophils and monocytes.The analysis made it possible to establish that the patient had a high risk of infectious complications before the surgery of the endoprosthesis replacement and determine the list of necessary preventive and therapeutic measures (glycemia correction, bacteriological examination of the knee joint puncture, rehabilitation of existing and possible foci of chronic infection, examination and treatment at the center of osteoporosis) that had not been held. The implementation of surgical treatment - revision knee replacement - against the background of a high risk of infectious complications led to the development of the infectious process. To stop the infection process, surgical treatment was performed, including necrectomy, debridement, drainage of the knee joint, without removing the components of the endoprosthesis. Remission was achieved.The clinical case of an infectious complication of revision knee arthroplasty is of interest, as it shows the importance of assessing adverse prognostic factors, establishing the degree of risk of infectious complications, and conducting the necessary preventive and therapeutic measures in the preoperative period to reduce the risk of developing an infectious process in the endoprosthesis area.S. N. LeonovaA. L. KamekaA. N. GrishchukScientific Сentre for Family Health and Human Reproduction Problemsarticlerevision knee replacementinfectious complicationprognostic factorsScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 68-71 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	revision knee replacement infectious complication prognostic factors Science Q
spellingShingle	revision knee replacement infectious complication prognostic factors Science Q S. N. Leonova A. L. Kameka A. N. Grishchuk Infectious Complication of Revision Knee Replacement
description	The article presents the case of the patient having an infectious complication in the area of the endoprosthesis after performing revision knee replacement. Revision surgery was performed six months after the primary knee replacement due to the instability of the components of the endoprosthesis. In analyzing the case of an infectious complication, a six-point risk factor for the development of infectious complications was given taking into consideration the following factors: body mass index; ASA physical status evaluation; the presence of diabetes mellitus, concomitant systemic diseases; the presence of allergic reactions; the presence of previous operations on the joint; index of the ratio of segmented neutrophils and monocytes.The analysis made it possible to establish that the patient had a high risk of infectious complications before the surgery of the endoprosthesis replacement and determine the list of necessary preventive and therapeutic measures (glycemia correction, bacteriological examination of the knee joint puncture, rehabilitation of existing and possible foci of chronic infection, examination and treatment at the center of osteoporosis) that had not been held. The implementation of surgical treatment - revision knee replacement - against the background of a high risk of infectious complications led to the development of the infectious process. To stop the infection process, surgical treatment was performed, including necrectomy, debridement, drainage of the knee joint, without removing the components of the endoprosthesis. Remission was achieved.The clinical case of an infectious complication of revision knee arthroplasty is of interest, as it shows the importance of assessing adverse prognostic factors, establishing the degree of risk of infectious complications, and conducting the necessary preventive and therapeutic measures in the preoperative period to reduce the risk of developing an infectious process in the endoprosthesis area.
format	article
author	S. N. Leonova A. L. Kameka A. N. Grishchuk
author_facet	S. N. Leonova A. L. Kameka A. N. Grishchuk
author_sort	S. N. Leonova
title	Infectious Complication of Revision Knee Replacement
title_short	Infectious Complication of Revision Knee Replacement
title_full	Infectious Complication of Revision Knee Replacement
title_fullStr	Infectious Complication of Revision Knee Replacement
title_full_unstemmed	Infectious Complication of Revision Knee Replacement
title_sort	infectious complication of revision knee replacement
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/99a078efba5047a98017706867e4556d
work_keys_str_mv	AT snleonova infectiouscomplicationofrevisionkneereplacement AT alkameka infectiouscomplicationofrevisionkneereplacement AT angrishchuk infectiouscomplicationofrevisionkneereplacement
_version_	1718416961695645696

Infectious Complication of Revision Knee Replacement

Ejemplares similares