Advanced search
1 file | 75.69 KB

Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, management and outcome

Author
Organization
Abstract
Background: Septic arthritis after arthroscopic anterior cruciate ligament reconstruction is a rare complication. In the literature, several different managements are proposed. Hypothesis: The graft can be retained during treatment of a septic arthritis after anterior cruciate ligament reconstruction. Study Design: Case series; Level of evidence, 4. Methods: A retrospective analysis of knee joint infections occurring after arthroscopically assisted anterior cruciate ligament reconstructions was conducted. Fifteen patients were treated for postoperative septic arthritis of the knee after anterior cruciate ligament reconstruction between 1996 and 2005. All patients underwent an urgent extensive arthroscopic debridement (washout and synovectomy) and parenteral antibiotics and oral antibiotics subsequently. Repetitive wash-outs were performed if necessary. The average time at follow-up for our series was 58 months (range, 9-99 months). Results: Only 1 graft was removed during debridement because it was nonfunctional. All other patients retained their anterior cruciate ligament reconstruction. There was no reinfection. There were 2 traumatic reruptures. We evaluated 11 patients: in 6 patients the Lachman test showed a translation of more than 3 mm, but all patients had a firm endpoint and there was no subjective instability. Early signs of radiological degeneration were seen in 3 patients. The value for the Lysholm knee scoring scale was 83, on average, ranging from 57 to 100. Regarding the International Knee Documentation Committee score, 2 patients had a final evaluation of normal, 7 patients nearly normal, and 2 patients abnormal. Conclusion: The graft can be retained during treatment of septic arthritis after anterior cruciate ligament reconstruction.
Keywords
septic arthritis, graft retention, anterior cruciate ligament reconstruction, knee arthroscopy, INFECTIONS, SURGERY, GRAFT

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 75.69 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Van Tongel, Alexander, Jos Stuyck, Johan Bellemans, and Hilde Vandenneucker. 2007. “Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction: a Retrospective Analysis of Incidence, Management and Outcome.” American Journal of Sports Medicine 35 (7): 1059–1063.
APA
Van Tongel, A., Stuyck, J., Bellemans, J., & Vandenneucker, H. (2007). Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, management and outcome. AMERICAN JOURNAL OF SPORTS MEDICINE, 35(7), 1059–1063.
Vancouver
1.
Van Tongel A, Stuyck J, Bellemans J, Vandenneucker H. Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, management and outcome. AMERICAN JOURNAL OF SPORTS MEDICINE. 2007;35(7):1059–63.
MLA
Van Tongel, Alexander, Jos Stuyck, Johan Bellemans, et al. “Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction: a Retrospective Analysis of Incidence, Management and Outcome.” AMERICAN JOURNAL OF SPORTS MEDICINE 35.7 (2007): 1059–1063. Print.
@article{4265253,
  abstract     = {Background: Septic arthritis after arthroscopic anterior cruciate ligament reconstruction is a rare complication. In the literature, several different managements are proposed.
Hypothesis: The graft can be retained during treatment of a septic arthritis after anterior cruciate ligament reconstruction.
Study Design: Case series; Level of evidence, 4. 
Methods: A retrospective analysis of knee joint infections occurring after arthroscopically assisted anterior cruciate ligament reconstructions was conducted. Fifteen patients were treated for postoperative septic arthritis of the knee after anterior cruciate ligament reconstruction between 1996 and 2005. All patients underwent an urgent extensive arthroscopic debridement (washout and synovectomy) and parenteral antibiotics and oral antibiotics subsequently. Repetitive wash-outs were performed if necessary. The average time at follow-up for our series was 58 months (range, 9-99 months).
Results: Only 1 graft was removed during debridement because it was nonfunctional. All other patients retained their anterior cruciate ligament reconstruction. There was no reinfection. There were 2 traumatic reruptures. We evaluated 11 patients: in 6 patients the Lachman test showed a translation of more than 3 mm, but all patients had a firm endpoint and there was no subjective instability. Early signs of radiological degeneration were seen in 3 patients. The value for the Lysholm knee scoring scale was 83, on average, ranging from 57 to 100. Regarding the International Knee Documentation Committee score, 2 patients had a final evaluation of normal, 7 patients nearly normal, and 2 patients abnormal.
Conclusion: The graft can be retained during treatment of septic arthritis after anterior cruciate ligament reconstruction.},
  author       = {Van Tongel, Alexander and Stuyck, Jos and Bellemans, Johan and Vandenneucker, Hilde},
  issn         = {0363-5465},
  journal      = {AMERICAN JOURNAL OF SPORTS MEDICINE},
  language     = {eng},
  number       = {7},
  pages        = {1059--1063},
  title        = {Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, management and outcome},
  url          = {http://dx.doi.org/10.1177/0363546507299443},
  volume       = {35},
  year         = {2007},
}

Altmetric
View in Altmetric
Web of Science
Times cited: