Septic arthritis surgical management: Difference between revisions
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! rowspan="2" |Needle aspiration | ! rowspan="2" |Needle aspiration | ||
!Closed needle aspiration | !Closed needle aspiration | ||
!Best initial surgical option if joint is easily accessible. ( e.g. Knee, ankle, elbow | ! | ||
* Best initial surgical option if joint is easily accessible such as peripheral joints. ( e.g. Knee, ankle, elbow and wrist etc.) | |||
* Very accessible to remove large amount of purulent synovial fluid unless there is presence of negative prognostic factors such as | |||
* Useful in repetitive drainage in the management of recurrent infections | |||
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!Open drainage | !Open drainage | ||
! | ! | ||
* Open drainage is useful in patients with unaccessible joint involvement such as axial joints (e.g. hip, shoulder and sternoclavicular | |||
joint | |||
Useful in persistant joint tinfections | |||
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! colspan="2" |Tidal irrigation | ! colspan="2" |Tidal irrigation | ||
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As the volume of synovial fluid, the cell count, and the % of polymorphonuclear leukocytes decrease with each aspiration, it is advisable to switch to combination therapy with both antibiotics and needle aspiration whenever needed. | |||
==Surgical Management== | ==Surgical Management== | ||
Revision as of 15:24, 24 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]
Overview
Surgical management options include:
- Needle aspiration
- Closed needle aspiration
- Open drainage
- Tidal irrigation
- Arthroscopy
- Arthrotomy
There is no specific guidelines for the surgical management but the efficacy of the surgical treatment depends on the clinical condition of the patient.
| Surgical management option | Description | |
|---|---|---|
| Needle aspiration | Closed needle aspiration |
|
| Open drainage |
joint Useful in persistant joint tinfections | |
| Tidal irrigation | ||
| Arthroscopy | ||
| Arthrotomy | ||
As the volume of synovial fluid, the cell count, and the % of polymorphonuclear leukocytes decrease with each aspiration, it is advisable to switch to combination therapy with both antibiotics and needle aspiration whenever needed.