Medical vs surgical treatment for the native joint in septic arthritis: a 6-year, single UK academic centre experience.

@article{Ravindran2009MedicalVS,
  title={Medical vs surgical treatment for the native joint in septic arthritis: a 6-year, single UK academic centre experience.},
  author={Vinod Ravindran and Ian Logan and Brian Bourke},
  journal={Rheumatology},
  year={2009},
  volume={48 10},
  pages={
          1320-2
        }
}
OBJECTIVE Medical treatment (serial closed-needle aspiration) and surgical treatment (arthroscopy/arthrotomy combined with joint washout) are well-recognized methods to treat septic arthritis (SA) of native joints. We compared the outcome of proven SA based on the method of treatment. METHODS We reviewed case notes of adult patients who were admitted to our institution from January 2001 to December 2006 with proven SA (Newman Grade A organism isolated from the joint). RESULTS Thirty-two… 
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Highly Influential Citations
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Background Citations
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Methods Citations
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Results Citations
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57 Citations

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Citation Type

Native Joint Septic Arthritis: Comparison of Outcomes with Medical and Surgical Management
Objective To determine whether there are differences in the outcomes of native joint septic arthritis (SA) in adults, based on medical versus surgical management. Methods A 10-year retrospective…
Medical Versus Surgical Approach to Initial Treatment in Septic Arthritis
TLDR
The results of the study show that initial surgical treatment in patients with native joint septic arthritis is not superior to IMT, however, half of the patients with shoulder and hip infections treated with IMT eventually required surgical intervention, suggesting that perhaps this should be the preferred initial approach in these cases.
Medical versus surgical treatment in native hip and knee septic arthritis
Medical Versus Surgical Management Of Native Joint Septic Arthritis In Adults: A Retrospective Comparison Of Outcomes Within The Va Ct Medical System
TLDR
It is suggested that medical management of septic arthritis with closed-needle aspiration is non-inferior to surgical management in terms of both morbidity and mortality.
Management of Native Joint Septic Arthritis, Serial Aspiration vs. Arthroscopic Washout During the COVID-19 Pandemic
Septic arthritis remains an orthopaedic emergency that requires prompt diagnosis and management. During the 2020 COVID-19 pandemic, British Orthopaedic Association (BOAST) guidelines dictated that…
Comparison of Needle Aspiration and Arthrotomy Treatment for Septic Knee Arthritis: A 10-year retrospective study
TLDR
In the treatment of uncomplicated septic knee arthritis, serial needle aspiration was not statistically different form arthrotomy and debridement.
Patients with surgically treated culture-negative native joint septic arthritis have less severe disease and better outcomes
TLDR
Patients with culture-negative native joint septic arthritis had less severe disease, better outcomes and higher rates of alternative diagnosis within one year than patients with positive cultures.
2020 French recommendations on the management of septic arthritis in an adult native joint.
Clinical characteristics and outcomes of patients with septic arthritis treated without surgery
TLDR
The nonsurgical approach as effective for patients with septic arthritis who are not critically ill at time of presentation is supported, and there are no significant sequelae in post-discharge imaging.
Morbimortality in adult patients with septic arthritis: a three-year hospital-based study
TLDR
In a university hospital setting, SA is still associated with high morbidity and mortality rates, and major risk factors associated with a poor functional outcome were older age and the presence of leg ulcers/eschars.
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