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Poster: 102Aggressive Early Debridement Can Be Successful for Infected Total KneeArthroplasty*Mohamed Sukeik - University College London Hospital - London, United KingdomMike Dobson - University College London Hospital - London, United KingdomAnna Bridgens - University College London Hospital - London, United KingdomF S Haddad - University College London Hospital - London, United KingdomIntroduction*Email: msukeik@hotmail.comUp to 2% of total knee arthroplasties (TKA) are still complicated by infection. This leads todissatisfied patients with poor function, and has far-reaching social and economicconsequences. The challenge in these cases is the eradication of infection, the restoration of fullfunction and the prevention of recurrence. We report the outcome of prosthesis sparing earlyaggressive debridement in the acutely infected TKA.MethodsWe studied 29 consecutive patients referred with acutely infected TKA (18 primaries, 11revisions) which occurred within 6 weeks of the index operation or of haematogenous spread.Microbiology confirmed bacterial colonization in all cases with 20 early post-operativeinfections and 9 cases of acute haematogenous spread. All patients underwent aggressive opendebridement, a thorough synovectomy and a change of insert. Antibiotics were continued untilinflammatory markers and the plasma albumin concentration returned to within normal limits.ResultsThree patients required multiple washouts. 8 patients needed a two stage revision. 21 patientsreturned to their expected functional level without removal of the implants and with noradiographic evidence of prosthetic failure. At a minimum 2 years follow-up, we had a 72%infection control rate. The outcome was significantly better in patients treated in the first 120hours after presentation.Discussion and ConclusionOur data suggests that there is a role for early aggressive open debridement in acute infectionsafter TKA with an excellent chance of prosthesis salvage.Poster: 103Comparison of the Mid-Vastus and Median Parapatellar Approaches forPrimary Total Knee Arthroplasty: A Meta-Analysisfile:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]