Abstract:

Septic arthritis is a serious condition and in adults the knee is the most frequently involved joint. Respective indications and limits of arthroscopy or arthrotomy are not well defined.In opposition to many published series. The patient was 60 years old male. Arthroscopic lavage was applied three months ago because of septic arthritis at another hospital. In orthopedic examination the patient had ballotman, swelling. There was 1x1 cm cavitation on the lateral wall of the notch and related the joint in the computed tomography. Arthroscopy was applied, cavity of osteomyelitis was removed. In our case, septic arthritis was occurred leaked supurative material of subchondral localized osteomyeitis in to joint. It was defined by computed tomography and syntigraphy. In Gächter's IV stage with osseos involment is recommended arthrotomy. We used arthroscopic method to remove cavity of focal osteomyelitis. After one year follow up period complete resolution of the inflammatory symptoms and laboratory sign proved. As result, arthroscopic treatment of septic arthritis fallow well defined focal osteomyelitis may be useful.

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