Treatment of XXXX : comparison of arthroscopic debridement alone or combined with continuous closed irrigation-suction system.

@entity1 @entity281 @entity34 @entity5414
BACKGROUND: Arthroscopic debridement has been widely adapted as initial treatment for @entity5414 . Although isolated cases of arthroscopic debridement combined with irrigation-suction systems have been reported, a comparison of two techniques has not been performed, to our knowledge. The purpose of this study was to compare the two methods of treatment. METHODS: From January 1996 to December 2008, 39 @entity1 with 39 @entity5414 treated in our institution were retrospectively analyzed. Nineteen knees were initially treated with arthroscopic debridement alone (group I), and 20 knees were initially treated with arthroscopic debridement combined with continuous closed irrigation-suction system (group II). The clinical presentation, laboratory and microbiologic findings, hospital course, and clinical outcomes were compared between the two groups. RESULTS: The mean delay between the onset of the symptoms and treatment had a significant effect on the clinical outcomes. When the comparison included all the @entity1 in the series, no significant difference between the two groups was found with regard to the number of operation procedures required or the length of the hospital stay. However, when the comparison was separated from the initial stage of @entity281 , it was found that in @entity34 , @entity1 had fewer reoperations and in @entity34 , a shorter hospital stay in group II than in group I (p < 0.05). There was no significant difference in the functional results between the two groups. CONCLUSIONS: The early diagnosis and aggressive initiation of treatment carried the success of therapy in @entity5414 . Arthroscopic debridement combined with continuous closed irrigation-suction system is an effective treatment for @entity1 with @entity5414 ; these @entity1 had fewer operations and a shorter hospital stay than did @entity1 who had received arthroscopic debridement alone.
