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MR Vol.14 No.5 idexに戻る
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MODERN RHEUMATOLOGY Vol.14 No.5 |
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Treatment of infected total knee arthroplasty in patients with rheumatoid arthritis |
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| Kazue Hayakawa1 and Kenji Nakagawa1 |
(1) Department of Orthopaedic Surgery, Fujita Health
University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake 470-1192, Japan |
Received: 07 February 2004 Accepted: 16 July 2004 |
| Abstract |
| The primary aim of treating infected knee joints after total knee arthroplasty is to eradicate the infection, but this is difficult to achieve. We reviewed the treatment of infections that occurred after total knee arthroplasty in patients with rheumatoid arthritis. The subjects were 14 patients with rheumatoid arthritis (3 men, 11 women; ages 38 81 years) who had 14 infected knee joints. The outcome was preservation of the implant in two cases, revision arthroplasty in six cases, arthrodesis in three cases, resection arthroplasty in one case, amputation in one case, and death in one case. If there is no loosening, preservation of the implant should be attempted. If preservation is impossible, revision arthroplasty is the next best option considering the effect on daily activities in patients with the disease affecting multiple joints. |
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| Key words |
| Infection - Rheumatoid arthritis (RA) - Total knee arthroplasty (TKA) |
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