Our Summary
The research paper is about a method to treat infections that occur in knee joint replacements. The treatment involves removing infected soft tissues around the artificial knee joint, cleaning the area, and replacing parts of the knee implant. This is specifically recommended for infections that occur within four weeks after the knee replacement surgery or when symptoms have been apparent for less than three weeks.
The procedure, in simple terms, involves opening up the knee joint, removing any old stitches, taking tissue samples for examination, removing all infected and dead tissue, and thoroughly cleaning the joint area. The artificial knee joint is checked to ensure it fits correctly, and then a new plastic part is inserted. After the surgery, a drain is removed two days later, physiotherapy is started, and antibiotics are given for 12 weeks.
The paper suggests that with the right indications and this treatment method, up to 90% of patients with acute artificial knee joint infections can be successfully cured and their knee implant can be preserved. However, this method is not suitable for delayed infections, loose artificial knee joints, difficult-to-treat infections, or where there is a draining sinus tract.
FAQs
- What does the treatment for infections in knee joint replacements involve?
- When is this method of treatment recommended for infections after knee replacement surgery?
- What types of infections or conditions are not suitable for this method of treatment?
Doctor’s Tip
A helpful tip a doctor might tell a patient about knee replacement is to closely follow the post-operative care instructions provided by the healthcare team. This may include attending physical therapy sessions, taking prescribed medications, and avoiding certain activities that could put strain on the knee joint. It is also important to monitor for any signs of infection, such as increased redness, swelling, or warmth around the knee, and to promptly report any concerns to the healthcare provider. By following these guidelines, patients can help ensure a successful recovery and long-term success of their knee replacement surgery.
Suitable For
Patients who are typically recommended for this knee replacement surgery for infections include those with acute infections occurring within four weeks after the initial knee replacement surgery, or when symptoms have been present for less than three weeks. These patients may experience symptoms such as increasing pain, swelling, redness, and warmth around the knee joint, as well as fever and chills.
It is important for patients to be in overall good health and able to tolerate surgery, anesthesia, and post-operative rehabilitation. Patients with chronic medical conditions that may increase the risk of complications, such as diabetes or heart disease, may not be ideal candidates for this procedure.
Additionally, patients with delayed infections, loose artificial knee joints, or difficult-to-treat infections may not benefit from this treatment method and may require alternative approaches, such as complete removal of the knee implant and re-implantation at a later time.
Overall, patients recommended for knee replacement surgery for infections should be carefully evaluated by a healthcare provider to determine the most appropriate treatment plan based on their individual circumstances and medical history.
Timeline
Before the knee replacement surgery, the patient may have been experiencing severe knee pain, limited mobility, and difficulty performing everyday tasks. They would have consulted with their orthopedic surgeon, undergone pre-operative testing, and received instructions on how to prepare for the surgery.
After the knee replacement surgery, the patient would experience pain, swelling, and stiffness in the knee joint. They would begin physical therapy to regain strength, flexibility, and range of motion in the knee. They would gradually increase their activity level and work towards walking independently and performing daily activities without assistance.
Overall, the patient would go through a period of recovery and rehabilitation to fully regain function and mobility in their knee. With proper care and adherence to post-operative instructions, the patient can expect to see significant improvement in their quality of life and ability to engage in physical activities.
What to Ask Your Doctor
- How long will the surgery take and what is the expected recovery time?
- What are the potential risks and complications associated with this procedure?
- Will I need physical therapy after the surgery, and if so, for how long?
- How successful is this treatment method for treating infections in knee joint replacements?
- What is the likelihood of preserving my knee implant with this treatment?
- Are there any alternative treatment options available for knee joint infections?
- How soon after the surgery can I return to normal activities and exercise?
- Will I need to take antibiotics for an extended period of time after the surgery?
- How often will I need to follow up with you after the surgery?
- What steps can I take to prevent future infections in my knee joint replacement?
Reference
Authors: Hawellek T, Beil FT, Hubert J. Journal: Oper Orthop Traumatol. 2018 Oct;30(5):309-320. doi: 10.1007/s00064-018-0558-4. Epub 2018 Jul 27. PMID: 30054644