Keywords:
Infection, Technical aspects, Safety, Outcomes analysis, Ultrasound, Musculoskeletal system, Interventional non-vascular, Extremities
Authors:
Y. S. CHAN, R. K. L. Lee, J. F. Griffith; Hong Kong/HK
DOI:
10.26044/ecr2019/C-0636
Results
Six patients (3 females,
3 males,
mean age 60 years) with a total of 8 septic joints treated were included.
These joints included 3 knees,
3 shoulders and 2 hips.
Sysyemic antibiotic therapy were used in all cases.
Technical success rate was 100%.
No immediate or delayed complications occurred throughout the period of catheter placement. A 7-8 Fr pigtail catheter was used for septic joint drainage in each case.
Mean drainage volume was 325ml and mean catheter placement duration was 8.6 days.
Clinical response with complete evacuation was achieved in 62.5% (5 out of 8 patients) in first attempt while re-intervention was necessary in 37.5% (3 out of 8 patients,
including two patients who required repeated percutaneous ultrasound guided drainage and one patient who required amputation to control the infection).
The two patients with repeated percutaneous ultrasound guided drainage had subsequent complete evacuation.