ISSN : 2146-3123
E-ISSN : 2146-3131

Brucellar Prosthetic Infection After Total Knee Arthroplasty: A Case With Retained Prosthesis by Arthroscopic and Medical Treatment
Tolga Atay 1, Metin Lütfi Baydar 1, Vecihi Kırdemir 1, Nurettin Heybeli 2
1Süleyman Demirel Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Isparta
2Trakya Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Edirne
Pages : 252-255

Abstract

Infection after total knee arthroplasty is a severe complication and is associated with high morbidity. We describe a case of a brucellosis infection of the knee joint, four years after cemented total knee prosthesis application. Treatment strategies of antimicrobial chemotherapy with or without initial excisional arthroplasty are recommended in the literature. After diagnostic arthroscopy and wash-out with synovectomy, we initiated doxycycline and rifampicin combination therapy without an initial excisional arthroplasty, in this case. This treatment strategy can be another option before performing a major surgery which may affect the patient's quality of life.

Keywords : Infection; brucella; arthroscopy; total knee arthroplasty
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