Drives

Driving is an inflammation of the knee joint. Sometimes acute and chronic. Depending on the type of infection are distinguished strepto - and Staphylococcus, tuberculosis, gonorrhea, rheumatoid drives and other Infection gets into the joint cavity or immediately if it is damaged, or hematogenous (or lymphogenous) way. The nature of the effusion Goity divided into serous, serous and purulent purulent.
Acute drives is manifested by an increase in joint volume, local tenderness, an increase in skin temperature, the pain at the movement in the joint.


Fig. 1. Chases. The typical position of the lower limbs.

Outlines of the joint anti-aliased, leg takes a forced position is bent at the knee (Fig. 1). In joint cavity accumulate a significant amount of effusion, which is determined by the running of the patella (Fig. 2). If there is an accumulation of pus in the cavity of the knee joint of the skin over the swollen joint, hyperemic, passive and active movements sharply painful and limited. Body temperature increases are marked leukocytosis, accelerated ROHE. The most severe is phlegmonously drives with purulent fusion of soft tissue and breakthrough pus in the fabric of the hip and th laziness. General condition of the patient in these cases, heavy, high fever with chills, quite often the picture of sepsis (see).
In chronic chase local temperature increase and the pain is usually less pronounced than in acute, acute swelling of the joint and impaired function. As in acute and chronic drive the process often ends with the formation of contractures (see) and ankylosis (see) joint.
Chest x-ray can detect changes in the articular cartilage and bones.


Fig. 2. The definition effusion in the knee joint.

Treatment of ganite. A patient with inflammatory changes in the knee joint are hospitalized. One of the main conditions of treatment of ganite is good immobilization of the knee joint plaster splint or Kokshetau bandage (see Plaster technique). Bandage impose with small bending (5-10 Celsius) in the knee joint. Puncture of the knee joint allows to study the cellular composition and microflora effusion, to determine its sensitivity to antibiotics, entered medicinal substances in a home defeat. Puncture should be performed with observance of the minor by a doctor. In introducing phlegmonously ganito produce arthrotomy (see) or resection of the knee joint. On the testimony chase prescribe antibiotics, conduct restorative therapy with blood transfusion, appoint vitamins, physiotherapeutic procedures.
Treatment of tuberculous gonite - see Tuberculosis of bones and joints.
Cm. also the Knee joint.