Document Detail


Risk and outcome of infection after different arthroscopic anterior cruciate ligament reconstruction techniques.
MedLine Citation:
PMID:  17681208     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Infection after arthroscopic anterior cruciate ligament (ACL) reconstruction is reported to be rare but can cause significant morbidity. The purpose of this study was to test the null hypothesis that there is no difference in infection rates between techniques and no difference in outcome of different techniques after treatment of this complication. METHODS: From a consecutive case series of 1,231 patients who underwent ACL reconstructions with 3 different techniques from 1988 through 2006, we report 6 patients who developed postoperative infection. Time to presentation, clinical symptoms, patient demographics, and surgical and management details were obtained from patient charts. All 6 patients were re-examined with physical and radiographic evaluation, functional testing, KT-1000 (Medmetric, San Diego, CA), and Lysholm scales. RESULTS: Six patients (0.49%) were identified including 2 infections for each technique with incidence of 0.86%, 0.29%, and 0.64%, respectively. The graft was retained in all 6 patients and treated with debridement and continuous antibiotics. Metallic implant was removed in 5 cases. Patients were followed up for an average of 102.5 months. The average modified Lysholm score was 81.1. The average maximum manual KT-1000 value was 2.7 mm. A Kruskal-Wallis test was used for statistical analysis, and no significant differences were noted in incidence, mean Lysholm scores, or KT-1000 difference (P > .05). CONCLUSIONS: 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. Although it was a small case series, the incidence and outcome after treatment of ACL infection in our study is similar, supporting the hypothesis that treatment outcomes were similar by using different surgical methods. LEVEL OF EVIDENCE: III, retrospective comparative study.
Authors:
Mehmet S Binnet; Kerem Başarir
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  23     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-07     Completed Date:  2007-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  862-8     Citation Subset:  IM    
Affiliation:
Department of Orthopedics and Traumatology, Ankara University School of Medicine, Ibn-i Sina Hospital, Ankara, Turkey. msbinnet@dialup.ankara.edu.tr <msbinnet@dialup.ankara.edu.tr>
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MeSH Terms
Descriptor/Qualifier:
Adult
Anterior Cruciate Ligament / surgery*
Anti-Bacterial Agents / therapeutic use
Arthrography
Arthroscopy / adverse effects*,  methods*
Bacterial Infections / diagnosis,  epidemiology,  therapy*
Debridement
Device Removal
Graft Survival
Humans
Incidence
Knee Joint / physiopathology
Magnetic Resonance Imaging
Male
Orthopedic Fixation Devices
Postoperative Period
Retrospective Studies
Risk Assessment
Surgical Wound Infection / diagnosis,  epidemiology,  therapy*
Treatment Outcome
Vacuum Curettage
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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