Patients with pyarthrosiso of the knee can be effectively managed by several different methods. A retrospective review of patients with the diagnosis of septic arthritis of the knee was undertaken to determine the efficacy of two different treatment programs. Multiple-needle arthrocentesis was contrasted with formal arthrotomy drainage. In this series, patients with a longer than three-day history of a knee pyarthrosis and those with Staphylococcus aureus or enteric gram-negative organisms on culture benefited from open drainage procedures in lieu of repeated aspiration techniques.
Presented in part at the American Academy of Orthopaedic Surgeons 1987 Annual Meeting, San Francisco, California, January 24, 1987. and the Mid America Orthopaedic Association 1988 Annual Meeting, Phoenix, Arizona, March 17, 1988.
Reprint requests to Fred M. Hankin, M.D., 420 W. Russell, Suite 109, Saline, MI 48176.
Received: September 14, 1988.