ЛЕЧЕНИЕ ГНОЙНЫХ ГОНИТОВ

Abstract

Purulent gonitis that has arisen after knee replacement, osteosynthesis with fractures of the bones forming the knee joint, arthroscopy, and the introduction of medications is a serious complication, the treatment of which is a social and economic problem. The aim of our study was to evaluate the effectiveness of the choice of treatment tactics for patients with purulent gonitis according to their etiology, local changes in the joint as well as the type and resistance of the infection causative agent. The analysis of the treatment of 154 patients was carried out. In most cases, 97 patients (63%), gonitis was noted in the form of the periprosthetic joint infection (PJI). In 33 (21%) cases it was noted with postoperative osteoarthritis after osteosynthesis of intra-articular fractures of the bones forming the knee joint. After arthroscopy with knee joint ligament surgery — 10 (7%) cases, intra-articular injections of drugs into the knee joint — 14 (9%). The high effectiveness of sanitizing treatment was achieved in 146 (94,8%) cases. 93 (95,8%) of the patients had PJI, 32 (96,9%) had postoperative osteomyelitis, 9 (90%) had arthroscopy, and 12 (85,7%) had intra-articular drug injections. The tactics of treatment of purulent gonitis depends on the etiology and nature of the joint lesion, the resistance of the microorganism, and the comorbid condition of patients.