Artritis séptica tras ligamentoplastia artroscópica de la rodilla: análisis retrospectivo de casos

Erice, Alejo; Neira, Manuel; Vargas-Prada, Sergio; Chiaraviglio, Ana; Gutiérrez-Guisado, Javier; Oya, Ricardo Rodríguez de

doi:10.1016/j.eimc.2017.05.002

Cited by 8 publications

(1 citation statement)

References 15 publications

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“…Ante la sospecha de artritis séptica debe realizarse una artrocentesis diagnóstica lo antes posible. El estudio del líquido articular es la principal prueba diagnóstica para confirmar una infección y es obligatorio antes de comenzar el tratamiento antimicrobiano; si bien, un recuento celular normal en el contexto clínico adecuado no excluye el diagnóstico de artritis séptica (6) . El diagnóstico definitivo lo proporciona el cultivo del líquido articular y/o de las muestras obtenidas durante la cirugía artroscópica de desbridamiento.…”

Section: Diagnósticounclassified

Artritis séptica de rodilla tras artroscopia de reconstrucción de ligamento cruzado anterior

Villanueva-Martínez¹,

Sutil-Blanco²,

Hernández-Seoane³

et al. 2019

RETLA

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Introducción: la infección articular de rodilla tras cirugía de reconstrucción de ligamentos cruzados es infrecuente, pero con consecuencias potencialmente graves para la articulación. Publicaciones recientes han demostrado que debe realizarse un desbridamiento artroscópico precoz asociado al tratamiento antibiótico para preservar la plastia y el cartílago articular. Asimismo, se enumeran marcadores de laboratorio útiles para el diagnóstico precoz de esta complicación. Métodos: revisión bibliográfica de series recientes publicadas. Resultados: en la presente revisión se discuten los parámetros de laboratorio para el diagnóstico de artritis séptica tras cirugía de reconstrucción de LCA y el protocolo de tratamiento, así como sus resultados en distintas publicaciones.

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Section: Diagnósticounclassified

Artritis séptica de rodilla tras artroscopia de reconstrucción de ligamento cruzado anterior

Villanueva-Martínez¹,

Sutil-Blanco²,

Hernández-Seoane³

et al. 2019

RETLA

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Bacterial contamination of irrigation fluid and suture material during ACL reconstruction and meniscus surgery

Bartek¹,

Winkler

Garbe³

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose During knee arthroscopy, irrigation fluid from the surgical site accumulates in the sterile reservoir. Whether these fluid collections and also suture material used during the arthroscopic surgical processes show bacterial contamination over time during surgery remains unclear. The purpose of this study was to determine this contamination rate and to analyze its possible influence on postoperative infection. Materials and methods In this study, 155 patients were included. Fifty-eight underwent reconstruction of the anterior cruciate ligament (ACL), 63 meniscal surgery and 34 patients combined ACL reconstruction and meniscus repair. We collected pooled samples of irrigation fluid from the reservoir on the sterile drape every 15 min during the surgery. In addition, we evaluated suture material of ACL graft and meniscus repair for bacterial contamination. Samples were sent for microbiological analysis, incubation time was 14 days. All patients were seen in the outpatient department 6, 12 weeks and 12 months postoperatively and examined for clinical signs of infection. Results A strong statistical correlation (R2 = 0.81, p = 0.015) was found between an advanced duration of surgery and the number of positive microbiological findings in the accumulated fluid. Suture and fixation material showed a contamination rate of 28.4% (29 cases). Despite the high contamination rate, only one infection was found in the follow-up examinations, caused by Staphylococcus lugdunensis. Conclusion Since bacterial contamination of accumulated fluid increases over time the contact with the fluid reservoirs should be avoided. Level of evidence IV.

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Arthroscopy in India Through the Medicolegal Lens: A Comprehensive Review

Pai

2023

JOIO

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Artritis séptica tras ligamentoplastia artroscópica de la rodilla: análisis retrospectivo de casos

Cited by 8 publications

References 15 publications

Artritis séptica de rodilla tras artroscopia de reconstrucción de ligamento cruzado anterior

Artritis séptica de rodilla tras artroscopia de reconstrucción de ligamento cruzado anterior

Bacterial contamination of irrigation fluid and suture material during ACL reconstruction and meniscus surgery

Arthroscopy in India Through the Medicolegal Lens: A Comprehensive Review

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