One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare Case
There is little information on the management of simultaneous infected total knee arthroplasties in the same patient. Although general principles of management for periprosthetic joint infection apply, there might be certain aspects worth to be considered. We present a case of a 78-year-old patient,...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/8846198 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850224301012156416 |
|---|---|
| author | Nils Wirries Lars-René Tuecking Michael Skutek |
| author_facet | Nils Wirries Lars-René Tuecking Michael Skutek |
| author_sort | Nils Wirries |
| collection | DOAJ |
| description | There is little information on the management of simultaneous infected total knee arthroplasties in the same patient. Although general principles of management for periprosthetic joint infection apply, there might be certain aspects worth to be considered. We present a case of a 78-year-old patient, who was referred in preseptic conditions 10 years following bilateral TKA. The onset of symptoms was less than one week, proposing an acute hematogenous infection. Analysis of joint fluid revealed that both of his TKAs were infected with Streptococcus sanguinis. Diagnostic algorithms, surgical principles, and the course of the patients following bilateral revision are being described. The reasons for an implant-retaining procedure with irrigation and debridement including the exchange of the polyethylene liners are being discussed as well as possible principles of management of bilateral periprosthetic joint infections. |
| format | Article |
| id | doaj-art-4f89b07857ed4fb0bec8e6c443a11dc3 |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-4f89b07857ed4fb0bec8e6c443a11dc32025-08-20T02:05:39ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/88461988846198One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare CaseNils Wirries0Lars-René Tuecking1Michael Skutek2Department of Orthopedic Surgery at Diakovere Annastift, Hannover Medical School, Anna-von-Borries-Str. 1–7, 30625 Hannover, GermanyDepartment of Orthopedic Surgery at Diakovere Annastift, Hannover Medical School, Anna-von-Borries-Str. 1–7, 30625 Hannover, GermanyDepartment of Orthopedic Surgery at Diakovere Annastift, Hannover Medical School, Anna-von-Borries-Str. 1–7, 30625 Hannover, GermanyThere is little information on the management of simultaneous infected total knee arthroplasties in the same patient. Although general principles of management for periprosthetic joint infection apply, there might be certain aspects worth to be considered. We present a case of a 78-year-old patient, who was referred in preseptic conditions 10 years following bilateral TKA. The onset of symptoms was less than one week, proposing an acute hematogenous infection. Analysis of joint fluid revealed that both of his TKAs were infected with Streptococcus sanguinis. Diagnostic algorithms, surgical principles, and the course of the patients following bilateral revision are being described. The reasons for an implant-retaining procedure with irrigation and debridement including the exchange of the polyethylene liners are being discussed as well as possible principles of management of bilateral periprosthetic joint infections.http://dx.doi.org/10.1155/2021/8846198 |
| spellingShingle | Nils Wirries Lars-René Tuecking Michael Skutek One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare Case Case Reports in Orthopedics |
| title | One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare Case |
| title_full | One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare Case |
| title_fullStr | One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare Case |
| title_full_unstemmed | One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare Case |
| title_short | One-Stage Implant-Retaining Revision for Simultaneous Bilateral Infected Total Knee Arthroplasty: A Report of a Rare Case |
| title_sort | one stage implant retaining revision for simultaneous bilateral infected total knee arthroplasty a report of a rare case |
| url | http://dx.doi.org/10.1155/2021/8846198 |
| work_keys_str_mv | AT nilswirries onestageimplantretainingrevisionforsimultaneousbilateralinfectedtotalkneearthroplastyareportofararecase AT larsrenetuecking onestageimplantretainingrevisionforsimultaneousbilateralinfectedtotalkneearthroplastyareportofararecase AT michaelskutek onestageimplantretainingrevisionforsimultaneousbilateralinfectedtotalkneearthroplastyareportofararecase |