Journal of Foot and Ankle Surgery (Asia Pacific)

Register      Login

VOLUME 9 , ISSUE 3 ( July-September, 2022 ) > List of Articles

Technique Article

An Effective Bedside Lavage Technique for Management of Septic Arthritis of the Ankle

Steven DeFroda, Andrew Gil, Joe Harris, Gregory R Waryasz

Keywords : Bacteremia, Hematogenous infection, Infection, Joint lavage, Septic ankle, Septic arthritis

Citation Information : DeFroda S, Gil A, Harris J, Waryasz GR. An Effective Bedside Lavage Technique for Management of Septic Arthritis of the Ankle. J Foot Ankle Surg Asia-Pacific 2022; 9 (3):128-129.

DOI: 10.5005/jp-journals-10040-1233

License: CC BY-NC 4.0

Published Online: 01-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Septic arthritis of the ankle can result in short- and long-term disabilities and fatal complications if not addressed promptly. Urgent arthroscopic or open joint lavage is the standard of care in cases with septic arthritis. However, this may be delayed in older patients with comorbidities and immunocompromised individuals, for achieving preoperative optimization. To counter such situations, we present a simple and effective bedside joint lavage technique that relies on continuous irrigation and suction and can therefore prevent unwarranted delays in the operative management of these cases.


PDF Share
  1. Movassaghi K, Wakefield C, Bohl DD, et al. Septic arthritis of the native ankle. JBJS Rev 2019;7(3):e6. DOI: 10.2106/JBJS.RVW.18.00080
  2. Lee CH, Chen YJ, Ueng SW, et al. Septic arthritis of the ankle joint. Chang Gung Med J 2000;23(7):420–426.
  3. Holtom PD, Borges L, Zalavras CG. Hematogenous septic ankle arthritis. Clin Orthop Relat Res 2008;466(6):1388–1391. DOI: 10.1007/s11999-008-0229-0
  4. Thordarson DB, Ahlmann E, Shepherd LE, et al. Sepsis and osteomyelitis about the ankle joint. Foot Ankle Clin 2000;5(4):913–928, vii–viii.
  5. Dalla Vestra M, Rettore C, Sartore P, et al. Acute septic arthritis: remember gonorrhea. Rheumatol Int 2008;29(1):81–85. DOI: 10.1007/s00296-008-0623-7
  6. Manadan AM, Block JA. Daily needle aspiration versus surgical lavage for the treatment of bacterial septic arthritis in adults. Am J Ther 2004;11(5):412–415. DOI: 10.1097/01.mph.0000087296.80768.1e
  7. Jackson RW, Parsons CJ. Distension-irrigation treatment of major joint sepsis. Clin Orthop Relat Res 1973;(96):160–164.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.