Effect of Arthroscopy on Diagnosing and Treating Suppurative Arthritis of Knee Joint_West China Medical Journal

Authors：

 ZhangJihong ,  WangXiaojuan , WuWuzhou , LiuYi , DangHongsheng , WangBo

The Fifth Ward of Orthopedic Surgery, Taihe Hospital of Shiyan (Hospital Affiliated to Hubei University of Medicine), Shiyan, Hubei 442000, P. R. China;

Corresponding author：

WangXiaojuan, Email: 395300799@qq.com

Keywords：

Knee joint; Suppurative; Osteoarthritis; Arthroscopy

DOI：

10.7507/1002-0179.201600185

Video：

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Objective To explore the effect of arthroscopy on diagnosing and treating suppurative arthritis of knee joint. Methods The clinical data of 22 patients with suppurative arthritis of knee joint diagnosed between January 2012 and December 2013 were analyzed retrospectively, including 13 males and 9 females with the age of 7-56 years (average 28.5 years). The duration of disease history was from 7 days to 4.5 months with the average of 2.8 months. All of the patients had swelling, pain, and limitation of motion of the knee joint in different degrees. Among them, 20 patients were diagnosed definitely and remaining 2 were osteoarthritis with atypical infections. Patients were investigated by Lysholm questionnaires during the follow-up period. Results All of the 22 patients were followed up for 3-10 months with the average of 8.5 months. The diagnosis was confirmed by pathological and arthroscopic examination after the surgery, and no recurrence was found. Lysholm score ranged from 77 to 99 with the average of 92.8. Only 1 patient had the motion range of 10-40°of the knee joint after several treatment. Conclusion Early arthroscopic treatment for suppurative arthritis of knee joint with continuous postoperati ve lavage and irrigation combined with comprehensive physiotherapy and rehabilitation has the advantages of high efficacy, maximum recovery of knee function, and quick recovery, which should be promoted in the clinical application

Citation： ZhangJihong, WangXiaojuan, WuWuzhou, LiuYi, DangHongsheng, WangBo. Effect of Arthroscopy on Diagnosing and Treating Suppurative Arthritis of Knee Joint. West China Medical Journal, 2016, 31(4): 675-678. doi: 10.7507/1002-0179.201600185 Copy

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8.	Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J]. Am J Sports Med, 1982, 10(3): 150-154.
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11.	Morrey BF, Marth M, Milmer O, et al. Septic arthritis in children[J]. Orthop Clin North Am, 1975, 6(4): 923-934.
12.	王创利, 朱贤, 王黎明. 关节镜清理加置管冲洗治疗急性化脓性膝关节炎 21例疗效观察[J]. 苏州大学学报: 医学版, 2004, 24(5): 725, 727.
13.	杨蒙. 双管闭式灌洗治疗化脓性膝关节炎21例[J]. 临床骨科杂志, 2004, 7(2): 224-225.
14.	肖谦, 向芳友, 刘志远. 关节镜下清理及术后持续灌洗引流治疗膝关节骨性关节炎并化脓感染[J]. 南华大学学报: 医学版, 2007, 35(5): 732-734.
15.	孙羽, 刘其明. 关节镜技术在化脓性膝关节炎治疗中的应用[J]. 临床骨科杂志, 2008, 11(3): 259-261.
16.	陈琼, 任乐夫. 化脓性膝关节炎关节镜下治疗[J]. 中国医疗前沿, 2008, 3(18): 54-55.

1. 唐康来, 杨柳, 李起鸿. 关节镜下清理及术后持续灌洗治疗化脓性膝关节炎[J]. 中国矫形外科杂志, 2003, 11(3): 204-206.
2. Nade S. Acute septic arthritis in infancy and childhood[J]. J Bone Joint Surg Br, 1983, 65(3): 234-241.
3. Wirtz DC, Marth M, Miltner O, et al. Septic arthritis of the knee in adults: treatment by arthroscopy or arthrotomy[J]. Int Orthop, 2001, 25(4): 239-241.
4. Ogilvie-Harris DJ, Fitsialos DP. Arthroscopic management of the degenemative knee[J]. Arthroscopy, 1991, 7(2): 151-157.
5. Canale ST, Beaty JH. 坎贝尔骨科手术学[M]. 王岩, 蔡谞, 李众利, 等, 译. 11版. 北京: 人民军医出版社, 2009: 589-592.
6. 赵金忠, 蒋垚, 沈灏, 等. 通过关节镜技术治疗早期膝关节化脓性关节炎[J]. 中华骨科杂志, 2002, 22(8): 474-476.
7. 敖英芳, 刘玉杰, 崔国庆, 等. 膝关节镜手术学[M]. 北京: 北京大学医学出版社, 2004: 51.
8. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J]. Am J Sports Med, 1982, 10(3): 150-154.
9. 张抒, 张强, 张军, 等. 关节镜下治疗急性化脓性膝关节炎[J]. 中国矫形外科杂志, 2006, 14(1): 73-74.
10. Johnson MW. A cutek neeef usions: a systematicapp roac htod iagnosis[J]. Am Fam Physician, 2000, 61(8): 2391-2400.
11. Morrey BF, Marth M, Milmer O, et al. Septic arthritis in children[J]. Orthop Clin North Am, 1975, 6(4): 923-934.
12. 王创利, 朱贤, 王黎明. 关节镜清理加置管冲洗治疗急性化脓性膝关节炎 21例疗效观察[J]. 苏州大学学报: 医学版, 2004, 24(5): 725, 727.
13. 杨蒙. 双管闭式灌洗治疗化脓性膝关节炎21例[J]. 临床骨科杂志, 2004, 7(2): 224-225.
14. 肖谦, 向芳友, 刘志远. 关节镜下清理及术后持续灌洗引流治疗膝关节骨性关节炎并化脓感染[J]. 南华大学学报: 医学版, 2007, 35(5): 732-734.
15. 孙羽, 刘其明. 关节镜技术在化脓性膝关节炎治疗中的应用[J]. 临床骨科杂志, 2008, 11(3): 259-261.
16. 陈琼, 任乐夫. 化脓性膝关节炎关节镜下治疗[J]. 中国医疗前沿, 2008, 3(18): 54-55.

West China Medical Journal

Effect of Arthroscopy on Diagnosing and Treating Suppurative Arthritis of Knee Joint

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