{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:51:02Z","timestamp":1792083062984,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical outcomes of a six\u2010portal arthroscopic technique for the management of acute septic arthritis of the native knee in a tertiary orthopaedic department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted, including patients with acute septic arthritis of the knee treated with a six\u2010portal arthroscopic debridement technique between 2017 and 2023. All patients had a minimum follow\u2010up of 12 months. Clinical and functional outcomes were assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) score, and Tegner\u2013Lysholm score. Additional parameters included microbiological findings, hospital stay, and recurrence or reoperation rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010eight patients were included, with a mean age of 52 years (range: 32\u201372) and a mean follow\u2010up of 45.4 months (range: 12\u201372). The mean hospital stay was 12.1 days (range: 7\u201320).\n                      <jats:italic>Staphylococcus<\/jats:italic>\n                      species were identified as the most common causative organisms (43%). No recurrence of infection or need for revision surgery was observed during the follow\u2010up period. At final evaluation, functional outcomes demonstrated a mean KOOS of 80 (range: 64\u201392), a mean IKDC score of 74.5 (range: 61\u201386) and a mean Tegner\u2013Lysholm score of 84.7 (range: 70\u201395), indicating overall good knee function and consistent clinical improvement across the cohort.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The six\u2010portal arthroscopic technique demonstrated favourable clinical outcomes in the management of acute septic arthritis of the native knee, with no recurrence or need for repeat debridement observed in this cohort. While these findings are encouraging, further comparative and higher\u2010volume studies are required to determine whether this approach offers advantages over standard arthroscopic techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70866","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T21:35:33Z","timestamp":1784583333000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of a six\u2010portal arthroscopic technique in managing acute septic arthritis of the native knee: A retrospective cohort study in a tertiary orthopaedic department"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8379-8593","authenticated-orcid":false,"given":"Efstathios","family":"Konstantinou","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma University Hospital of Larissa, School of Health Sciences, University of Thessaly Larissa Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1698-9517","authenticated-orcid":false,"given":"Theodorakys","family":"Mar\u00edn Ferm\u00edn","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Santa Sof\u00eda Caracas Venezuela"},{"name":"Thessaloniki Minimally Invasive Surgery Orthopaedic Center St. Luke's Hospital Panorama 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