{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:25:39Z","timestamp":1787934339607,"version":"build-2784847793"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,5,28]],"date-time":"2015-05-28T00:00:00Z","timestamp":1432771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,5,28]],"date-time":"2015-05-28T00:00:00Z","timestamp":1432771200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of this study was to compare the efficacy of arthroscopy and arthrotomy in patients with septic monarthritis of the knee.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy consecutive patients who underwent surgery because of a bacterial monarthritis were evaluated. Patients were either treated with arthroscopy or with arthrotomy. Our primary outcome was the early recurrence of infection (&gt;3\u00a0months after surgery), which made a second surgical procedure necessary. Furthermore, the influence of potential confounders on treatment outcome was analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 70 patients, 41 were treated arthroscopically and 29 with arthrotomy. Eight patients (11.4 %) had to undergo a second surgical procedure because of early re\u2010infection. The rate was significantly higher in patients treated with arthrotomy (<jats:italic>n<\/jats:italic> = 6; 20.7 %) compared with those treated by arthroscopy (<jats:italic>n<\/jats:italic> = 2) (<jats:italic>p<\/jats:italic> = 0.041). Range of motion was significantly better in patients who underwent arthroscopy (<jats:italic>p<\/jats:italic> &lt; 0.001). Male sex had negative influence on the treatment success (<jats:italic>p<\/jats:italic> = 0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with bacterial monarthritis of the knee who were treated with arthroscopy had a significantly lower re\u2010infection rate and a better functional outcome than those treated with arthrotomy. As arthroscopy is the less invasive method, it should be considered the routine treatment, according to our data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Therapeutic study, Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-015-3659-8","type":"journal-article","created":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T14:03:53Z","timestamp":1432735433000},"page":"3147-3154","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Treatment of septic arthritis of the knee: a comparison between arthroscopy and arthrotomy"],"prefix":"10.1002","volume":"24","author":[{"given":"Christoph","family":"B\u00f6hler","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Medical University of Vienna Waehringer Guertel 18\u201020 1090 Vienna 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