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Septic arthritis of the knee following anterior cruciate ligament reconstruction

Septic arthritis of the knee is a rare complication after arthroscopic anterior cruciate ligament reconstruction, and the most appropriate treatment is unclear. All case series reported so far have been retrospective, and case numbers of septic arthritis have ranged from 4 to 11. From a consecutive...

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Autores principales: Sajovic, Matjaž, nič ar, Gorazd Leš, Dernovš ek, Mojca Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3143967/
https://www.ncbi.nlm.nih.gov/pubmed/21808667
http://dx.doi.org/10.4081/or.2009.e3
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author Sajovic, Matjaž
nič ar, Gorazd Leš
Dernovš ek, Mojca Z.
author_facet Sajovic, Matjaž
nič ar, Gorazd Leš
Dernovš ek, Mojca Z.
author_sort Sajovic, Matjaž
collection PubMed
description Septic arthritis of the knee is a rare complication after arthroscopic anterior cruciate ligament reconstruction, and the most appropriate treatment is unclear. All case series reported so far have been retrospective, and case numbers of septic arthritis have ranged from 4 to 11. From a consecutive case series of 1,283 patients who underwent arthroscopic anterior cruciate ligament reconstruction between January 1997 and May 2008, we report on 3 patients (0.23%) with post-operative septic arthritis. All patients had acute infection (“ 2 weeks), bacterial cultures showed Staphylococcus species in 2 patients, while the bacterial culture was negative in the third. All of them underwent immediate arthroscopic debridement and lavage with continuous irrigation, as well as antibiotic treatment. The results were evaluated with physical and radiographic examination, functional testing, KT-2000, Lysholm and Tegner scales. The infection was successfully eradicated without further surgical treatment and the ligament graft was retained in all patients. Follow-up, at an average of 33 months, revealed that the patients had full symmetric knee range of motion and no effusion. The average Lysholm score was 91 points. In the patient with a lower subjective score, radiographs demonstrated patellofemoral joint-space narrowing, which is most probably in correlation with his anterior knee pain problems and lower activity level. The 134 N KT-2000 arthrometer side-to-side differences averaged 13 mm. Their performance in the single-legged hop test gave excellent results. The goals of treatment for septic arthritis after anterior cruciate ligament reconstruction are, primarily, to protect the articular cartilage and, secondly, to protect the graft. Through early diagnosis and prompt treatment, the infection can be successfully eradicated, with stability of the knee and full range of motion achieved.
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spelling pubmed-31439672011-08-01 Septic arthritis of the knee following anterior cruciate ligament reconstruction Sajovic, Matjaž nič ar, Gorazd Leš Dernovš ek, Mojca Z. Orthop Rev (Pavia) Article Septic arthritis of the knee is a rare complication after arthroscopic anterior cruciate ligament reconstruction, and the most appropriate treatment is unclear. All case series reported so far have been retrospective, and case numbers of septic arthritis have ranged from 4 to 11. From a consecutive case series of 1,283 patients who underwent arthroscopic anterior cruciate ligament reconstruction between January 1997 and May 2008, we report on 3 patients (0.23%) with post-operative septic arthritis. All patients had acute infection (“ 2 weeks), bacterial cultures showed Staphylococcus species in 2 patients, while the bacterial culture was negative in the third. All of them underwent immediate arthroscopic debridement and lavage with continuous irrigation, as well as antibiotic treatment. The results were evaluated with physical and radiographic examination, functional testing, KT-2000, Lysholm and Tegner scales. The infection was successfully eradicated without further surgical treatment and the ligament graft was retained in all patients. Follow-up, at an average of 33 months, revealed that the patients had full symmetric knee range of motion and no effusion. The average Lysholm score was 91 points. In the patient with a lower subjective score, radiographs demonstrated patellofemoral joint-space narrowing, which is most probably in correlation with his anterior knee pain problems and lower activity level. The 134 N KT-2000 arthrometer side-to-side differences averaged 13 mm. Their performance in the single-legged hop test gave excellent results. The goals of treatment for septic arthritis after anterior cruciate ligament reconstruction are, primarily, to protect the articular cartilage and, secondly, to protect the graft. Through early diagnosis and prompt treatment, the infection can be successfully eradicated, with stability of the knee and full range of motion achieved. PAGEPress Publications 2009-06-30 /pmc/articles/PMC3143967/ /pubmed/21808667 http://dx.doi.org/10.4081/or.2009.e3 Text en ©Copyright Matjaz Sajovic et al., 2009 This work is licensed under a Creative Commons Attribution 3.0 License (by-nc 3.0) Licensee PAGEPress, Italy
spellingShingle Article
Sajovic, Matjaž
nič ar, Gorazd Leš
Dernovš ek, Mojca Z.
Septic arthritis of the knee following anterior cruciate ligament reconstruction
title Septic arthritis of the knee following anterior cruciate ligament reconstruction
title_full Septic arthritis of the knee following anterior cruciate ligament reconstruction
title_fullStr Septic arthritis of the knee following anterior cruciate ligament reconstruction
title_full_unstemmed Septic arthritis of the knee following anterior cruciate ligament reconstruction
title_short Septic arthritis of the knee following anterior cruciate ligament reconstruction
title_sort septic arthritis of the knee following anterior cruciate ligament reconstruction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3143967/
https://www.ncbi.nlm.nih.gov/pubmed/21808667
http://dx.doi.org/10.4081/or.2009.e3
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