Abstract
Objective: This study reviews the evidence on single-stage surgical treatment of osteomyelitis in total knee arthroplasty, focusing on clinical and functional outcomes. Methodology: A systematic review was conducted using databases, analyzing studies published between 2010 and 2024. Inclusion criteria encompassed clinical trials, systematic reviews, and relevant case reports. Extracted data included patient characteristics, surgical technique, materials used, and clinical outcomes. Results: The single-stage approach showed an overall success rate of 87% in infection control, with 85% of patients reporting significant functional improvement. Reinfection occurred in 5% of cases, while periprosthetic fractures were recorded in 3%. The use of antibiotic-loaded bone cement and personalized rehabilitation protocols were key factors for positive outcomes. Conclusion: The single-stage approach for osteomyelitis in knee arthroplasty offers clear benefits, including reduced recovery time, cost savings, and improved functionality. However, further studies are needed to validate its effectiveness in broader populations and complex clinical scenarios.
Published Version
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