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The outcome of infected total knee arthroplasty: culture-positive versus culture-negative

  • Knee Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

We studied the outcome in culture-positive and culture-negative infected total knee arthroplasty (TKA).

Methods

We retrospectively reviewed 140 patients with culture-positive and 102 patients with culture-negative infected TKAs. We determined the infection control rate and clinical outcome after repeated debridement, and repeated 2-stage TKA in the culture-positive and culture-negative groups. The mean follow-up was 9.3 years (range 5–14 years) in the culture-positive group and 10.6 years (5–22) in the culture-negative group.

Results

The overall infection control rate was 56 % in both groups after the first treatment. The overall infection control rate was 90 % in the culture-positive group and 95 % in the culture-negative group. A functional knee was obtained in 90 % in the culture-positive group and 95 % in the culture-negative group.

Conclusions

The data suggest that treatment according to the types of infection in both culture-positive and culture-negative groups after TKA controlled infection and maintained functional TKA with a firm level of fixation for most patients. Repeated debridement and repeated two-stage exchange TKA further improved infection control rates after the initial treatment and increased the likelihood of maintaining a functional TKA.

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Acknowledgments

Authors express great thanks to Ms. Doo-Ri Kim, BS for her evaluation of Clinical and Radiographic data.

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Authors and Affiliations

  1. The Joint Replacement Center, Ewha Womans, University School of Medicine, MokDong Hospital, 911-1, MokDong, YangChun-Ku, Seoul, 158-710, Republic of Korea

    Young-Hoo Kim, Jang-Won Park, Jun-Shik Kim & Dong-Jin Kim

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  1. Young-Hoo Kim
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  2. Jang-Won Park
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Correspondence to Young-Hoo Kim.

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Kim, YH., Park, JW., Kim, JS. et al. The outcome of infected total knee arthroplasty: culture-positive versus culture-negative. Arch Orthop Trauma Surg 135, 1459–1467 (2015). https://doi.org/10.1007/s00402-015-2286-7

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