{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:15:10Z","timestamp":1787004910499,"version":"build-2736575974"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Septic arthritis is an orthopaedic emergency, often necessitating surgical debridement, and the knee joint is most frequently affected. Arthroscopic and open irrigation and debridement (I&amp;D) are the two commonest surgical treatments for septic arthritis of the native knee. Several studies have compared outcomes of open and arthroscopic management without coming to a clear conclusion which yields superior outcomes. The purpose of this study was to compare the results of these two surgical techniques to treat septic arthritis of the native knee using a large nationwide database. Patients who underwent arthroscopic or open I&amp;D as treatment for knee septic arthritis from 2010 to 2019 were identified using a national insurance database. The primary outcome was the 90-day reoperation rate. Secondary outcomes included surgical site infection, readmission, and other postoperative complications. A total of 1,139 patients were identified, 618 of whom (54%) underwent open treatment and 521 (46%) underwent arthroscopic treatment. The two groups did not differ significantly by age, gender, or most comorbidities. There was no significant difference in 90-day reoperation rate between the groups (15.0.% open and 18.0% arthroscopic, p\u2009=\u20090.174). Patients who underwent open treatment had increased odds of readmission to the hospital (odds ratio [OR]\u2009=\u20091.46 [1.14\u20131.86]; p\u2009=\u20090.003), postoperative anemia (OR\u2009=\u20091.71 [1.08\u20132.75]; p\u2009=\u20090.025), and blood transfusion (OR\u2009=\u20091.76 [1.04\u20133.06]; p\u2009=\u20090.040) compared with those who underwent arthroscopic surgery. Using administrative claims data, we found that arthroscopic and open I&amp;D have similar rates of reoperation and most 90-day postoperative outcomes. Lower rates of readmission, postoperative anemia, and blood transfusion were found with arthroscopic I&amp;D, suggesting that arthroscopy may be preferable to open treatment in the management of septic arthritis of the native knee in cases in which other case- and surgeon-specific factors do not otherwise dictate the best treatment modality.<\/jats:p>","DOI":"10.1055\/s-0042-1747948","type":"journal-article","created":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T20:37:11Z","timestamp":1651783031000},"page":"949-956","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of Arthroscopy versus Open Arthrotomy for Treatment of Septic Arthritis of the Native Knee: Analysis of 90-Day Postoperative Complications"],"prefix":"10.1055","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3710-0630","authenticated-orcid":false,"given":"Alexander","family":"Dobek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradip","family":"Ramamurti","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4814-0796","authenticated-orcid":false,"given":"Alex","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory J.","family":"Golladay","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Virginia Commonwealth University Health, Richmond, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Doerre","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savyasachi","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Columbia, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,5]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1136\/ard.35.3.198","article-title":"Review of septic arthritis throughout the antibiotic 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