| Septic arthritis after arthroscopic anterior cruciate ligament reconstruction. Diagnosis and management. | |
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MedLine Citation:
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PMID: 9079185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We performed a retrospective study of knee joint infections after arthroscopic anterior cruciate ligament reconstruction at our institution. Two thousand five hundred anterior cruciate ligament reconstructions were performed between 1988 and 1993. Seven (0.3%) patients experienced postoperative deep infections of the knee. All anterior cruciate ligament reconstructions were performed using arthroscopically assisted techniques. Six (86%) of these patients had concomitant open procedures performed, including meniscal repair, posterolateral corner reconstruction, and medial collateral ligament reconstruction. Four patients had acute (< 2 weeks), two patients had subacute (2 weeks to 2 months), and one patient had late (> 2 months) infections. All patients had positive cultures from knee joint aspirates with the organisms Staphylococcus aureus, Staphylococcus epidermidis, Peptostreptococcus, or a combination thereof. All patients underwent immediate arthroscopic irrigation and debridement. All infections were intraarticular; six patients also had extraarticular sites of infection. Four patients underwent repeat irrigation and debridement at approximately 1 week. The anterior cruciate ligament graft was removed from four patients. All patients were treated with intravenous antibiotics for 4 to 6 weeks, protected weightbearing, and physical therapy. At a mean followup of 29 months, mean knee extension was 0 degree, and mean knee flexion was 122 degrees (range, 70 degrees to 135 degrees). Six (86%) patients had minimal to no pain in their operative knee, and they were satisfied with their functional results. |
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Authors:
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R J Williams; C T Laurencin; R F Warren; A C Speciale; B D Brause; S O'Brien |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of sports medicine Volume: 25 ISSN: 0363-5465 ISO Abbreviation: Am J Sports Med Publication Date: 1997 Mar-Apr |
Date Detail:
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Created Date: 1997-06-04 Completed Date: 1997-06-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7609541 Medline TA: Am J Sports Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 261-7 Citation Subset: IM |
Affiliation:
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Hospital for Special Surgery, New York, NY 10021, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anterior Cruciate Ligament / injuries, pathology, surgery* Anti-Bacterial Agents / therapeutic use Arthritis, Infectious / diagnosis, etiology*, microbiology, therapy Arthroscopy Debridement Gram-Positive Bacterial Infections Humans Irrigation Knee Injuries / surgery* Male Middle Aged Peptostreptococcus Postoperative Complications* / diagnosis, therapy Retrospective Studies Staphylococcal Infections / diagnosis, therapy Staphylococcus epidermidis |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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