65: Arthroscopic Treatment for Septic Arthritis

Published on 19/04/2015 by admin

Filed under Surgery

Last modified 22/04/2025

Print this page

rate 1 star rate 2 star rate 3 star rate 4 star rate 5 star
Your rating: none, Average: 0 (0 votes)

This article have been viewed 1102 times

Procedure 65 Arthroscopic Treatment for Septic Arthritis

Procedure

Step 1

Step 3: Radiocarpal Evaluation

Step 4: Midcarpal Evaluation

Evidence

Birman MV, Strauch RJ. Management of the septic wrist. J Hand Surg [Am]. 2011;36:324-326.

This paper reviewed data on septic wrists treated with needle aspiration, open surgical technique, and arthroscopic management. Several retrospective studies were examined. Their review showed that all techniques were useful in some regard; however, there was no solid evidence to determine the relative effectiveness of the procedures. (Level IV evidence)

Goldenberg DL, Brandt KD, Cohen AS, Cathcart ES. Treatment of septic arthritis: comparison of needle aspiration and surgery as initial modes of joint drainage. Arthritis Rheum. 1975;18:83-90.

This paper compared needle aspiration of a septic joint with open surgical drainage. This is a retrospective study that compared data from 59 patients over an 8-year period. All of the patients had proven bacterial arthritis. Forty-two patients were treated with needle aspiration, and 17 were treated with open surgical drainage. Sixty-seven percent of patients treated with aspiration had complete recovery. Only 42% of patients treated with open surgery had complete recovery. Also, only 21% of patients in the aspiration group had poor results compared with 55% of in the open surgical group. Poor result was defined as flexion deformity of 10 degrees or greater, ankylosis, secondary osteomyelitis, or persistent effusion. This paper concluded that in initial management of a septic joint, needle aspiration is more favorable than open surgery. (Level IV evidence)

Sammer D, Shin A. Comparison of arthroscopic and open treatment of septic arthritis of the wrist. J Bone Joint Surg [Am]. 2010;92:107-113.

The authors used a retrospective comparison of patients treated with either arthroscopic or open surgical treatment of a septic wrist. The study looked at 11 years of data and involved a single institution. Their findings showed that arthroscopic treatment not only was effective but also led to fewer subsequent operations and shorter hospital stays. (Level IV evidence)