What is the role of surgery in the treatment of viral arthritis?

Updated: Nov 12, 2019
  • Author: Rabea Ahmed Khouqeer, MD, FRCPC, FAAAAI; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Surgical drainage is not indicated unless septic arthritis is considered likely. Most septic joints are managed effectively with a single surgical debridement. However, Hunter and colleagues reported that the risk factors for failure of a single surgical debridement included the following [14] :

  • History of inflammatory arthropathy
  • Involvement of a large joint
  • Synovial fluid nucleated cell count of > 85.0 × 10 9/L
  • Infection with Staphylococcus aureus
  • Diabetes mellitus

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