International Journal of Orthopaedics Research(IJOR)
ISSN: 2690-9189 | DOI: 10.33140/IJOR
Impact Factor: 1.6
Fernando Ono
Orthopedic Surgeon, Akhos Clinic - Orthopedic Infection Treatment Center - SEPS EQ 709/909 CONJUNTO, Brazil
Publications
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Research Article
Surgical and Therapeutic Approaches in Total Knee Arthroplasty for Patients with Osteomyelitis: A Systematic Review
Author(s): Mario Soares Ferreira Junior*, Cristiano Ricardo Martins Teixeira, Pedro Carvalho Brandao, Isaías Chaves dos Santos, Fernando Ono, Gilberto dos Santos Nogueira and Erika Freire Cavalcante Fernandes
Total knee arthroplasty (TKA) in patients with osteomyelitis poses significant challenges related to infection eradication and joint functional restoration. This study aimed to systematically review the best available evidence on surgical techniques, prosthesis types, cement options, and antibiotic protocols employed in this context. The methodology adhered to the PRISMA framework, analyzing clinical and experimental studies published between 2014 and 2024 across PubMed, ScienceDirect, Scopus, and Medline databases. Forty studies were included, evaluating approaches such as two-stage revisions, antibiotic-impregnated spacers, and specific prosthesis designs. The results demonstrated high infection eradication rates (above 90%) with two-stage techniques, particularly when using articulating spacers, which provided superior functional outcomes. Antibiotic-impregnated cements, such as th.. Read More»