Abstract
The present report describes a case of septic knee arthritis secondary to reactivated chronic osteomyelitis. The osteolytic lesion observed on the initial radiographs resulted in further imaging studies including CT and MRI, which confirmed the diagnosis. Based on the patient's history, physical findings and imaging studies, we performed open debridement rather than arthroscopic surgery in order to treat the infected intraarticular knee joint and ream the femur intramedullary canal. Additionally, an antibiotic-impregnated cement rod was inserted into the medullary cavity to fill the dead space and eradicate the infection. A high index of suspicion combined with adequate comprehension of initial plain radiographs is essential for accurate diagnosis of septic knee arthritis with adjacent chronic osteomyelitis.
| Original language | English |
|---|---|
| Pages (from-to) | 790-793 |
| Number of pages | 4 |
| Journal | Knee Surgery, Sports Traumatology, Arthroscopy |
| Volume | 18 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2010 Jan 1 |
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Keywords
- Antibiotic-impregnated cement rod
- Chronic osteomyelitis
- Knee
- Septic arthritis
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Septic arthritis of the knee joint secondary to adjacent chronic osteomyelitis of the femur in an adult. / Jeong, Woong-Kyo; Park, Jong Hoon; Lee, Soon-Hyuck; Park, Jong Woong; Han, Seung Beom; Lee, Dae H.
In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 18, No. 6, 01.01.2010, p. 790-793.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Septic arthritis of the knee joint secondary to adjacent chronic osteomyelitis of the femur in an adult
AU - Jeong, Woong-Kyo
AU - Park, Jong Hoon
AU - Lee, Soon-Hyuck
AU - Park, Jong Woong
AU - Han, Seung Beom
AU - Lee, Dae H.
PY - 2010/1/1
Y1 - 2010/1/1
N2 - The present report describes a case of septic knee arthritis secondary to reactivated chronic osteomyelitis. The osteolytic lesion observed on the initial radiographs resulted in further imaging studies including CT and MRI, which confirmed the diagnosis. Based on the patient's history, physical findings and imaging studies, we performed open debridement rather than arthroscopic surgery in order to treat the infected intraarticular knee joint and ream the femur intramedullary canal. Additionally, an antibiotic-impregnated cement rod was inserted into the medullary cavity to fill the dead space and eradicate the infection. A high index of suspicion combined with adequate comprehension of initial plain radiographs is essential for accurate diagnosis of septic knee arthritis with adjacent chronic osteomyelitis.
AB - The present report describes a case of septic knee arthritis secondary to reactivated chronic osteomyelitis. The osteolytic lesion observed on the initial radiographs resulted in further imaging studies including CT and MRI, which confirmed the diagnosis. Based on the patient's history, physical findings and imaging studies, we performed open debridement rather than arthroscopic surgery in order to treat the infected intraarticular knee joint and ream the femur intramedullary canal. Additionally, an antibiotic-impregnated cement rod was inserted into the medullary cavity to fill the dead space and eradicate the infection. A high index of suspicion combined with adequate comprehension of initial plain radiographs is essential for accurate diagnosis of septic knee arthritis with adjacent chronic osteomyelitis.
KW - Antibiotic-impregnated cement rod
KW - Chronic osteomyelitis
KW - Knee
KW - Septic arthritis
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UR - http://www.scopus.com/inward/citedby.url?scp=77952542713&partnerID=8YFLogxK
U2 - 10.1007/s00167-009-0976-9
DO - 10.1007/s00167-009-0976-9
M3 - Article
C2 - 19890626
AN - SCOPUS:77952542713
VL - 18
SP - 790
EP - 793
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
SN - 0942-2056
IS - 6
ER -