Septic arthritis surgical management

Septic arthritis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Septic Arthritis from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Other Diagnostic Studies
Treatment
Medical Therapy
Surgical Therapy
Primary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Septic arthritis surgical management On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Septic arthritis surgical management All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Septic arthritis surgical management
CDC on Septic arthritis surgical management
Septic arthritis surgical management in the news
Blogs on Septic arthritis surgical management
Directions to Hospitals Treating Septic arthritis
Risk calculators and risk factors for Septic arthritis surgical management

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	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
	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
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.

References

Template:WikiDoc Sources