Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults
Yıl: 2018 Cilt: 23 Sayı: 2 Sayfa Aralığı: 64 - 72 Metin Dili: İngilizce DOI: 10.5578/flora.66622 İndeks Tarihi: 26-04-2019
Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults
Öz: Introduction: The aim of this study was to evaluate and compare patients with acute septic arthritis of the knee treated using arthroscopicmethod as well as 2 forms of arthrotomy.Materials and Methods: Adult patients with the diagnosis of acute septic arthritis treated at our hospital with arthroscopy, conventionalarthrotomy or mini arthrotomy between 2008 and 2016 were retrospectively reviewed. Clinical findings, laboratory results, hospitalizationtime and functional outcomes were evaluated and compared.Results: Thirty-three patients were included into the present study, on whom, arthroscopic method (n= 13; 39.3%), mini-arthrotomy(n= 9; 27.2%), and conventional arthrotomy (n= 11; 33.3%) were performed. Seven of our patients required secondary surgical intervention,and our therapeutic success rate was 78%. Median hospitalization duration was 18 days (range: 7-45 days) in the arthroscopicintervention group, 16 days (range: 9-32 days) in the mini-arthrotomy group, and 11 days (range: 7-23 days) in the conventionalarthrotomy group without any significant difference. Range of motion of the knee joint at the latest follow-up was similar in all groups(p= 0.736).Conclusion: According to our results all 3 methods can be applied in treatment.
Anahtar Kelime: Konular:
Erişkin Dizin Akut Septik Artrit Tedavisinde Üç Cerrahi Yöntemin Karşılaştırılması
Öz: Giriş: Bu çalışmanın amacı artroskopik veya iki farklı artrotomi yöntemi ile dizde akut septik artrit tedavisi yapılan hastaları retrospektif değerlendirmek ve karşılaştırmaktır. Materyal ve Metod: Hastanemizde 2008 ile 2016 tarihleri arasında akut septik tanısı nedeniyle artroskopi, geleneksel artrotomi veya mini artrotomi yöntemlerinden biriyle tedavi edilen erişkin hastalar geriye dönük olarak araştırıldı. Klinik bulgular, laboratuvar sonuçları, hospitalizasyon zamanı ve fonksiyonel sonuçlar değerlendirildi ve karşılaştırıldı. Bulgular: Otuz üç hasta (33 diz) çalışmaya dahil edildi. 13 hasta (39.3%) artroskopik yöntemle tedavi edilirken, 9 hasta (27.2%) mini-artrotomi, 11 hasta (33.3%) ise geleneksel artrotomi yöntemi ile tedavi edildi. Yedi hastamızda ikinci bir cerrahiye ihtiyaç duyuldu ve tedavi başarı oranımız %78 idi. Ortalama hastanede kalış süresileri arasında anlamlı fark olmamakla beraber artroskopi grubunda 18 gün (aralık; 7-45 gün), mini-artrotomi grubunda 16 gün (aralık; 9-32 gün) ve geleneksel artrotomi grubunda ise 11 gün (aralık; 7-23 gün) idi. Son takiplerinde tüm grupların eklem hareket açıklıkları benzer idi (p=0.736). Sonuç: Sonuçlarımıza göre tedavide her üç yöntem de uygulanabilir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | KALEM M, ŞAHİN E (2018). Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. , 64 - 72. 10.5578/flora.66622 |
| Chicago | KALEM Mahmut,ŞAHİN Ercan Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. (2018): 64 - 72. 10.5578/flora.66622 |
| MLA | KALEM Mahmut,ŞAHİN Ercan Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. , 2018, ss.64 - 72. 10.5578/flora.66622 |
| AMA | KALEM M,ŞAHİN E Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. . 2018; 64 - 72. 10.5578/flora.66622 |
| Vancouver | KALEM M,ŞAHİN E Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. . 2018; 64 - 72. 10.5578/flora.66622 |
| IEEE | KALEM M,ŞAHİN E "Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults." , ss.64 - 72, 2018. 10.5578/flora.66622 |
| ISNAD | KALEM, Mahmut - ŞAHİN, Ercan. "Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults". (2018), 64-72. https://doi.org/10.5578/flora.66622 |
| APA | KALEM M, ŞAHİN E (2018). Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 23(2), 64 - 72. 10.5578/flora.66622 |
| Chicago | KALEM Mahmut,ŞAHİN Ercan Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 23, no.2 (2018): 64 - 72. 10.5578/flora.66622 |
| MLA | KALEM Mahmut,ŞAHİN Ercan Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, vol.23, no.2, 2018, ss.64 - 72. 10.5578/flora.66622 |
| AMA | KALEM M,ŞAHİN E Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2018; 23(2): 64 - 72. 10.5578/flora.66622 |
| Vancouver | KALEM M,ŞAHİN E Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2018; 23(2): 64 - 72. 10.5578/flora.66622 |
| IEEE | KALEM M,ŞAHİN E "Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults." Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 23, ss.64 - 72, 2018. 10.5578/flora.66622 |
| ISNAD | KALEM, Mahmut - ŞAHİN, Ercan. "Comparison of Three Surgical Treatment Methods in Acute Septic Arthritis of the Knee in Adults". Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 23/2 (2018), 64-72. https://doi.org/10.5578/flora.66622 |
