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Das infizierte Kniegelenk

Knee joint infections

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Zusammenfassung

Der Kniegelenkinfekt ist eine Notfalldiagnose. Er kann in jedem Lebensalter zustandekommen. In den meisten Fällen tritt er posttraumatisch oder postoperativ auf. Die Infektion kann durch eine Vielzahl von Bakterien, Viren oder Pilzen ausgelöst werden. Am häufigsten (85–95 %) wird ein Kniegelenkinfekt durch eine Infektion mit Staphylococcus aureus hervorgerufen. Das Outcome des Patienten hängt entscheidend davon ab, wie schnell die Therapie eingeleitet wird. Neben der Arthroskopie und Synovektomie des Kniegelenks ist nach Entnahme einer Probe für die mikrobiologische Untersuchung unverzüglich mit der antibiotischen Therapie zu beginnen.

Abstract

Knee joint infection represents an emergency case at every age. Joint infection occurs frequently after trauma or joint surgery. The infection can be caused by numerous bacteria, viruses, or yeasts; however, Staphylococcus aureus is identified as the cause in 85–95 % of joint infections. Early treatment is important for patient outcome. In addition to synovectomy and therapeutic arthroscopy, antibiotic therapy is essential and should be started after sample recovery.

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  1. Abteilung für Unfallchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 7, 24105, Kiel, Deutschland

    S. Oestern, D. Varoga, R. Trompetter, S. Lippross, T. Klüter, M. Weuster, O. Schröder & A. Seekamp

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  1. S. Oestern
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  2. D. Varoga
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Oestern, S., Varoga, D., Trompetter, R. et al. Das infizierte Kniegelenk. Unfallchirurg 116, 255–270 (2013). https://doi.org/10.1007/s00113-012-2325-6

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