Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, presentation, treatment, and cause.

@article{Wang2009SepticAA,
  title={Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, presentation, treatment, and cause.},
  author={Cheng Wang and Y. Ao and Jian-Quan Wang and Yue-lin Hu and G. Cui and Jia-Kuo Yu},
  journal={Arthroscopy : the journal of arthroscopic \& related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association},
  year={2009},
  volume={25 3},
  pages={
          243-9
        }
}
  • Cheng Wang, Y. Ao, +3 authors Jia-Kuo Yu
  • Published 2009
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
PURPOSE The purpose of this report is to summarize our experience in the diagnosis and management of septic arthritis after anterior cruciate ligament (ACL) reconstruction. METHODS A retrospective review was conducted of all the arthroscopic ACL reconstructions performed at our institution between 1997 and 2007. Postoperative septic arthritis occurred in 21 of 4,068 patients. The incidence, cause, presentation, laboratory results, and treatment of all infected patients were analyzed… Expand
Management of septic arthritis after arthroscopic anterior cruciate ligament reconstruction using a standard surgical protocol.
TLDR
Management of septic arthritis after ACL reconstruction using a specific surgical protocol which includes graft removal in case of infection recurrence with later re-implantation, can provide good and excellent results. Expand
Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction
TLDR
The incidence of postoperative infections after ACL reconstruction was determined, the microbiological spectrum was identified, and a standardized graft-retaining treatment protocol was evaluated, consisting of sequential arthroscopic irrigation and debridement procedures and antibiotic therapy until C-reactive protein levels are within normal range. Expand
Septic arthritis following arthroscopic reconstruction of cruciate ligaments of the knee: retrospective case review.
TLDR
The objective of this article is to describe the clinical and microbiological aspects of this entity, a retrospective review of cases of septic arthritis following arthroscopic reconstruction of cruciate ligaments of the knee that occurred at a single institution from 2000-2015. Expand
Septic arthritis following arthroscopic reconstruction of cruciate ligaments of the knee: retrospective case review.
Abstract Introduction Rupture of cruciate ligaments of the knee is a common injury that is repaired by arthroscopic reconstruction, which can give rise to septic arthritis. The objective of thisExpand
Postoperative septic arthritis after anterior cruciate ligament reconstruction: does it affect the outcome? A retrospective controlled study.
TLDR
Septic arthritis after ACLR did not result in inferior objective knee function compared with uncomplicated ACLR, and anterior cruciate ligament grafts may be retained with prompt, thorough arthroscopic lavage and debridement; correct antibiotics according to cultures; and repeated arthroScopy if necessary. Expand
Infection after arthroscopic anterior cruciate ligament reconstruction.
TLDR
The authors conducted a systematic review of published studies that evaluated the outcome of septic arthritis after arthroscopic ACL reconstruction with a pooled analysis of the reported cases to further elucidate the outcomes of infection after ACL reconstruction. Expand
Septic arthritis after arthroscopic posterior cruciate ligament and multi-ligament reconstructions is rare and can be successfully treated with arthroscopic irrigation and debridement: analysis of 866 reconstructions
TLDR
A treatment regime with sequential arthroscopic irrigation and debridement procedures combined with antibiotic therapy that is focused on retention of the graft is evaluated, finding that graft retention can be expected in the majority of the cases. Expand
Multiple arthroscopic debridement and graft retention in septic knee arthritis after ACL reconstruction: a prospective case–control study
TLDR
Graft retention seems not only possible but appropriate in view of the experience presented in this article for postoperative septic knee arthritis using hamstring autograft, which deserves maximum attention. Expand
Graft retaining debridement in patients with septic arthritis after anterior cruciate ligament reconstruction.
TLDR
Long-term antibiotic therapy and arthroscopic drainage without graft or fixation material removal is effective in patients of regular activity level, although this procedure is equally successful for treating the infection in competitive athletes and heavy workers, it also results in slight performance loss. Expand
Post-arthroscopic septic arthritis of the knee. Analysis of the outcome after treatment in a case series and systematic literature review.
TLDR
An intravenous antibiotic therapy with surgical debridement is the first-line treatment for septic arthritis, justifying an empiric therapeutic approach with an anti-MRSA agent and cephalosporin. Expand
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References

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Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, management and outcome.
TLDR
The graft can be retained during treatment of septic arthritis after anterior cruciate ligament reconstruction, and only 1 graft was removed during debridement because it was nonfunctional. Expand
Presentation, outcome, and cause of septic arthritis after anterior cruciate ligament reconstruction: a case control study.
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  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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TLDR
In cases of suspected septic arthritis after ACL reconstruction, laboratory studies and aspiration followed by culture testing should be performed liberally to avoid the otherwise frequently delayed diagnosis. Expand
Septic Arthritis in Postoperative Anterior Cruciate Ligament Reconstruction
TLDR
Anterior cruciate ligament infection is rare, but diagnosable when treated early with appropriate antibiotic therapy and arthroscopic debridement, and if the infection does not respond rapidly to early therapy, then graft removal is an option. Expand
Septic Arthritis of the Knee after Anterior Cruciate Ligament Surgery
TLDR
Results in these cases are overall only fair compared with patients with an uncomplicated anterior cruciate ligament reconstruction, and early infection can be managed arthroscopically with satisfactory results regarding the treatment of infection. Expand
Infections following arthroscopic anterior cruciate ligament reconstruction.
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  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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TLDR
Long-term goals for treatment of patients with postoperative ACL infections are to protect the articular cartilage and to maintain knee function and timely initiation of treatment, including joint lavage, debridement, and antibiotics are essential. Expand
An unusual epidemic of Staphylococcus-negative infections involving anterior cruciate ligament reconstruction with salvage of the graft and function.
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  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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TLDR
A retrospective study of 13 patients who had postoperative clinical and laboratory signs of infection after autogenous bone-patellar tendon-bone (BPTB) anterior cruciate ligament (ACL) reconstructions believes that when there is a notable increase in infection rates, a thorough search for contamination is indicated. Expand
Risk and outcome of infection after different arthroscopic anterior cruciate ligament reconstruction techniques.
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  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2007
TLDR
Aggressive surgical debridement, hardware removal, and appropriate antibiotic therapy have proven effective in eliminating postsurgical infection along with graft retention and preservation of knee stability after ACL reconstruction performed with 3 different techniques. Expand
Septic arthritis of the knee following anterior cruciate ligament reconstruction: results of a survey of sports medicine fellowship directors.
  • M. Matava, T. A. Evans, R. Wright, R. Shively
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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TLDR
It is confirmed that septic arthritis of the knee is a relatively rare complication following ACL reconstruction and once an infection is encountered, culture-specific IV antibiotics and surgical joint irrigation with graft retention are recommended as initial treatment. Expand
Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction
TLDR
Six patients in a retrospective study of knee joint in fections after arthroscopic anterior cruciate ligament reconstruction had minimal to no pain in their operative knee, and they were satisfied with their functional results. Expand
Treatment of Postoperative Anterior Cruciate Ligament Infections with Graft Removal and Early Reimplantation
TLDR
Graft removal after confirmed anterior cruciate ligament graft infection and intravenous antibiotic administration followed by early graft reimplantation can give excellent results. Expand
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