{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:26:12Z","timestamp":1787934372828,"version":"build-2784847793"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,12,6]],"date-time":"2006-12-06T00:00:00Z","timestamp":1165363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    We studied a consecutive series of 40 patients presenting a septic knee arthritis, with a mean age of 49 \u00b1 20 (range 19\u201381) years. The aetiologies were: 18 postoperative arthritis, 12 haematogenous infections, 7 arthritis following aspiration or infiltration, and 3 articular wounds. The most common organisms were\n                    <jats:italic>Staphylococcus aureus<\/jats:italic>\n                    and\n                    <jats:italic>epidermidis<\/jats:italic>\n                    (23 cases). Surgical procedures consisted in 20 arthroscopic debridements, 6 open debridements, 14 synovectomies. According to G\u00e4chter's classification, there were 8 stage I, 18 stage II, 11 stage III and 3 stage IV cases. Fifteen patients had to be reoperated after the index procedure at our institution: one open debridement, six open synovectomies, one open arthrolysis, one arthrodesis and six total knee arthroplasties (TKA). Final examination was performed after 22 \u00b1 26 (range 12\u201396) months. All cases were considered free of infection. Good functional result was present by 19\/33 cases (excluding arthrodesis and TKA). The delay between the onset of symptoms and surgery was the major pronostic factor of success (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.023). This delay was correlated with G\u00e4chter's staging of the intra\u2010articular lesions. The diagnosis of septic knee arthritis must be suspected at the early stage of the disease, and diagnostic joint aspiration must be immediately performed when the diagnosis is suspected. We suggest that the treatment should be more aggressive than generally advocated. Needle aspiration should be only performed at the very early stages. Arthroscopic debridement should be the routine treatment. Synovectomy should be considered even as a primary procedure when significant synovial hypertrophy is present (G\u00e4chter stage III and IV) or when a more conservative treatment did not lead to a fast improvement.\n                  <\/jats:p>","DOI":"10.1007\/s00167-006-0224-5","type":"journal-article","created":{"date-parts":[[2006,12,5]],"date-time":"2006-12-05T13:51:42Z","timestamp":1165326702000},"page":"387-392","source":"Crossref","is-referenced-by-count":88,"title":["Results of treatment of septic knee arthritis: a retrospective series of 40 cases"],"prefix":"10.1002","volume":"15","author":[{"given":"Laurent","family":"Balabaud","sequence":"first","affiliation":[{"name":"Centre de Traumatologie et d'Orthop\u00e9die BP 96, 10 Avenue Achille Baumann 67403 Illkirch Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeannot","family":"Gaudias","sequence":"additional","affiliation":[{"name":"Centre de Traumatologie et d'Orthop\u00e9die BP 96, 10 Avenue Achille Baumann 67403 Illkirch Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyril","family":"Boeri","sequence":"additional","affiliation":[{"name":"Centre de Traumatologie et d'Orthop\u00e9die BP 96, 10 Avenue Achille Baumann 67403 Illkirch Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Yves","family":"Jenny","sequence":"additional","affiliation":[{"name":"Centre de Traumatologie et d'Orthop\u00e9die BP 96, 10 Avenue Achille Baumann 67403 Illkirch Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Kehr","sequence":"additional","affiliation":[{"name":"Centre de Traumatologie et d'Orthop\u00e9die BP 96, 10 Avenue Achille Baumann 67403 Illkirch Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,12,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557080-00017"},{"issue":"2","key":"e_1_2_6_3_1","first-page":"489","article-title":"The role of arthroscopy in the diagnosis and management of the septic joint","volume":"12","author":"Broy SB","year":"1986","journal-title":"Clin Rheum Dis"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0307-742X(21)00562-2"},{"key":"e_1_2_6_5_1","first-page":"803","article-title":"Apport de l'arthroscopie au traitement des arthrites septiques \u00e0 pyog\u00e8nes banals du genou de l'adulte","volume":"85","author":"Bussi\u00e8re F","year":"1999","journal-title":"Rev Chir Orthop"},{"key":"e_1_2_6_6_1","first-page":"241","volume-title":"Arthroscopie, Soci\u00e9t\u00e9 Fran\u00e7aise d'Arthroscopie","author":"Bussi\u00e8re F","year":"1999"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-199754010-00004"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(88)80024\u20100"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198403000-00017"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780180116"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(85)80011\u20106"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780240522"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052080-00007"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199003000-00029"},{"key":"e_1_2_6_15_1","first-page":"103","article-title":"Peripheral pyogenic arthritis. 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