{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T06:20:59Z","timestamp":1793254859376,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,12,24]],"date-time":"2015-12-24T00:00:00Z","timestamp":1450915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,12,24]],"date-time":"2015-12-24T00:00:00Z","timestamp":1450915200000},"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>To evaluate the efficacy of treatment and functional recovery of patients diagnosed with septic arthritis of the knee submitted to two surgical techniques: conventional arthrotomy and arthroscopic approach for debridement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In this prospective clinical study, all adult patients diagnosed with knee pyoarthritis in a 15\u2010month period at a philanthropic hospital in Brazil were randomized into two groups: one group submitted to arthrotomy and the other to arthroscopy. The protocols of antibiotic therapy, physical therapy and postoperative assessment were standardized in both groups. Demographic, clinical, functional and laboratorial variables were compared between groups, with a minimum follow\u2010up of 24\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no difference in effectiveness of treatment in both groups, but 2 patients (18.2 %) of the arthrotomy group needed a new approach. The pain was higher in those undergoing treatment by arthrotomy, at 7 and 14\u00a0days postoperatively. The return to activities of daily living took an average of 5.7\u00a0days for both groups: 7.1\u00a0days for the arthrotomy group and 4.3\u00a0days for arthroscopy group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It was found that the treatment of knee septic arthritis by both techniques showed similar effectiveness in healing, but the arthroscopy procedure was better than arthrotomy because it has a lower reinfection rate and low initial inflammatory reaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Therapeutic studies, Level I.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-015-3918-8","type":"journal-article","created":{"date-parts":[[2015,12,24]],"date-time":"2015-12-24T02:57:54Z","timestamp":1450925874000},"page":"3155-3162","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Arthrotomy versus arthroscopy in the treatment of septic arthritis of the knee in adults: a randomized clinical trial"],"prefix":"10.1002","volume":"24","author":[{"given":"Luciano Rodrigo","family":"Peres","sequence":"first","affiliation":[{"name":"Santa Marcelina Hospital Rua Santa Marcelina, 177, Vila Carmosina CEP 08270\u2010070 S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael Oliveira","family":"Marchitto","sequence":"additional","affiliation":[{"name":"Santa Marcelina Hospital Rua Santa Marcelina, 177, Vila Carmosina CEP 08270\u2010070 S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo Souza","family":"Pereira","sequence":"additional","affiliation":[{"name":"Santa Marcelina Hospital Rua Santa Marcelina, 177, Vila Carmosina CEP 08270\u2010070 S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio Seiti","family":"Yoshino","sequence":"additional","affiliation":[{"name":"Santa Marcelina Hospital Rua Santa Marcelina, 177, Vila Carmosina CEP 08270\u2010070 S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"de Castro Fernandes","sequence":"additional","affiliation":[{"name":"Santa Marcelina Hospital Rua Santa Marcelina, 177, Vila Carmosina CEP 08270\u2010070 S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo Hide","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Santa Marcelina Hospital Rua Santa Marcelina, 177, Vila Carmosina CEP 08270\u2010070 S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/230949900801600114"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2013.116"},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","unstructured":"B\u00f6hlerC DraganaM 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