Effect of Adding Continous Irrigation to Arthroscopic Debridement of Septic Knee: A Retrospective Study

Authors

  • Ramakrishnan Thanikachalam
  • R. Selvaraj

Abstract

Even with current advancements in the field of orthopedics, septic/infective arthritis of knee remains an unsettling nightmare. Early mobilization and rehabilitation has now become possible with the advent of arthroscopic debridement, but still recurrence remains awful. The aim of this study is to retrospectively analyze the outcomes of patients who were treated with a novel method of continuous irrigation following arthroscopic debridement in patients who presented with infective/septic arthritis. The data of all the patients who were treated with continuous irrigation for following arthroscopic debridement, between Jan 2018 to Dec 2022 were collected and retrospectively analyzed. After a mean follow up of 25 months there was no recurrence in all the 24 patients who qualified our inclusion criteria, 3 patients had post operative stiffness among them 2 were treated with physical therapy and one who didn’t improve with physical therapy also denied surgical correction. The mean post operative KOOS score was 78.2 ± 3.8 which was significantly higher compared to their pre-operative scores. Adding continuous irrigation to arthroscopic debridement proves to be an effective, promising treatment for septic/infective arthritis rather than arthroscopic debridement alone to avoid recurrences.

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References

Nade S. Acute septic arthritis in infancy and childhood. J Bone Joint Surg Br. 1983;65:234e241.

Shaw BA, Kasser JR. Acute septic arthritis in infancy and childhood. Clin Ortho. 1990;257:212e225.

Sucato DJ, Schwend RM, Gillespie R. Septic arthritis of the hip in children. J Am Acad OrthoSurg.1997;5:249e260.

Lane JG, Falahee MH, Wojtys EM, Hankin FM, Kaufer H. Pyarthrosis of the knee treatment considerations. Clin OrthopRelat Res.1990;252:198e204.

Dittrich V, Attmanspacher W, Stedtfeld HW. Mehrzeitiges arthroskopisches Vorgehen beiKniegelenkempyemen. Arthroscopy.1999;12:137e143.

Ivery M, Clark R. Arthroscopic debridement of the knee for septic arthritis. Clin Orthop. 1985;199:201e206.

Nusem I, Jabur MK, Playford EG. Arthroscopic treatment of septic arthritis of the hip. Arthroscopy. 2006;22:902.e1e902.e3.

DeAngelis NA, Busconi BD. Hip arthroscopy in the pediatric population. Clin Orthop. 2003;406:60e63.

Yamamoto Y, Ide T, Hachisuka N, Maekawa S, Akamatsu N. Arthroscopic surgery for septic arthritis of the hip joint in 4 patients. Arthroscopy. 2001;17:290e297.

Blizer CM. Arthroscopic management of septic arthritis of the hip. Arthroscopy. 1993;9:414e416.

Gainor BJ. Installation of continuous tube irrigation in the septic knee at arthroscopy. Clin Orthop. 1984;183:96e98.

Kuo Chun Lin, et al. J Trauma InjInfectcare. August 2011;71.

WHO. Model Prescribing Information: Drugs Used in Bacterial Infections. vol. 45. Geneva:WorldHealthOrganisation;2001:458e463.

StutzG,KusterMS,KleinstückF,Gachter.Arthroscopic management of septic arthritis: stages of infection and results. Knee Surg Sports Trauma Arthrosc. 2000;8:270e274.

Wirtz DC, Marth M, Miltner O, Schneider U, Zilkens KW. Septic arthritis of the knee in adults: treatment by arthroscopy or arthrotomy. Int Orthop. 2001;25:239e241.

Vispo Seara JL, Barthel T, Schmitz H, Eulert J. Arthroscopic treatment of septic joints: prognostic factors. Arch Orthop Trauma Surg. 2002;122:204e211.

Sutipompalangkul Werasak, PichaisakWitchate. Comparison of arthroscopic and open arthrotomy treatment of septic arthritis of the knee in Thai patients. Sirraj Med J. 2013;65:12e15.

Kim Sung-Jae, Choi Nam Hong, Ko Sang-Hoon, Linton John A, Park Hui-Wan. Arthroscopic treatment of septic arthritis of the hip. Clin OrthopRelat Res. 2003;407:211e214.

Chung Wui K, Slater Gordon L, Bates Edward H. Treatment of septic arthritis of the hip by arthroscopic lavage. J PaediatrOrthop. 1993;13:444e446.

EL-Sayed Ahmed Mounir Moustafa. Treatment of early septic arthritis of hip in children: comparison of results of open arthrotomy versus arthroscopic drainage. J Child Orthop. 2008 june;2;229-237.

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Published

2025-07-09

How to Cite

1.
Thanikachalam R, Selvaraj R. Effect of Adding Continous Irrigation to Arthroscopic Debridement of Septic Knee: A Retrospective Study. J Neonatal Surg [Internet]. 2025Jul.9 [cited 2025Oct.14];14(32S). Available from: https://jneonatalsurg.com/index.php/jns/article/view/7979

Issue

Vol. 14 No. 32S (2025): Journal of Neonatal Surgery

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Original Article

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Copyright (c) 2025 Ramakrishnan Thanikachalam, R. Selvaraj

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