Evolution of C-reactive protein values in the first month after anterior cruciate ligament reconstruction: reference values

Ibán, Miguel Ángel Ruiz; Heredia, Jorge Díaz; Val, Ignacio Cebreiro Martinez del; Güemes, Susana Alonso; Gutiérrez, Ricardo Cuéllar; Sastre, Sergi

doi:10.1007/s00167-013-2702-x

Cited by 14 publications

(6 citation statements)

References 30 publications

(46 reference statements)

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“…The decision to reoperate should not be based on CRP alone because it has been shown that CRP was above normal in half of these patients after ACL reconstruction. 17 In a meta-analysis by Kuršumović and Charalambous, 11 the graft was not changed in 86% of the patients in the literature. Nevertheless, graft ablation is an option for a nonfunctioning graft or a graft covered with purulent discharge.…”

Section: Discussionmentioning

confidence: 99%

Professional Athletes Are Not at a Higher Risk of Infections After Anterior Cruciate Ligament Reconstruction: Incidence of Septic Arthritis, Additional Costs, and Clinical Outcomes From the French Prospective Anterior Cruciate Ligament Study (FAST) Cohort

et al. 2018

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Background: The rate of septic arthritis in the knee after anterior cruciate ligament (ACL) reconstruction varies in the literature but is generally less than 1%. It has been reported to be higher in professional athletes (5.7%). Purpose: The primary goal was to evaluate the rate of septic arthritis after ACL reconstruction in professional athletes compared with other patients. The secondary goals were to analyze the risk factors; increased cost of infections; return to sport, satisfaction, and functional results at 1-year follow-up; and resolution rate of infections at final follow-up.

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Section: Discussionmentioning

confidence: 99%

Professional Athletes Are Not at a Higher Risk of Infections After Anterior Cruciate Ligament Reconstruction: Incidence of Septic Arthritis, Additional Costs, and Clinical Outcomes From the French Prospective Anterior Cruciate Ligament Study (FAST) Cohort

et al. 2018

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“…Por todo ello, los diversos autores concluyeron en que la PCR era un indicador muy sensible para detectar complicaciones posoperatorias. 2,10,12,18 Un estudio interesante es el de Paci y cols.…”

Section: Discussionunclassified

Evolución de los reactantes de fase aguda tras la reconstrucción no complicada del ligamento cruzado anterior por vía artroscópica. [Inflammatory blood marker patterns following uncomplicated arthroscopically-assisted anterior cruciate ligament reconstruction.]

Prado¹,

Teixeira²,

Flores³

et al. 2015

Rev. Asoc. Arg. Ort. y Traumatol

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Rev Asoc Argent Ortop Traumatol 70 ResumenIntroducción: El objetivo de este estudio fue determinar los niveles de los principales reactantes de fase aguda (proteína C reactiva y eritrosedimentación) en el posoperatorio de una reconstrucción artroscópica del ligamento cruzado anterior sin complicaciones y analizar si diferentes variables del tratamiento realizado podrían alterar esos valores. Materiales y Métodos: Se llevó a cabo un estudio prospectivo de todas las reconstrucciones del ligamento cruzado anterior realizadas en nuestro Hospital, entre diciembre de 2012 y diciembre de 2013. Los niveles en sangre de proteína C reactiva, eritrosedimentación y leucocitos fueron determinados un día antes de la intervención, y a las 24 horas y a los 15 y 30 días de la cirugía. Se recogieron diferentes variables de la intervención: tiempo de isquemia, tiempo de cirugía, tipo de injerto y diferentes gestos asociados a la reconstrucción (sutura meniscal, microfracturas, etc.). Resultados: De los tres reactantes analizados, la proteína C reactiva es la que presenta un ascenso más elevado en el posoperatorio, es la única que vuelve a valores basales a los 30 días de la intervención (p >0,05). En cuanto a las variables analizadas, sólo el tiempo de isquemia se relacionaba con valores más elevados de proteína C reactiva. Conclusiones: La monitorización de la proteína C reactiva es una prueba práctica y sensible para detectar complicaciones después de la cirugía de ligamento cruzado anterior. Ante valores elevados a partir de los 15 días y si existe sospecha de infección debe realizarse una punción articular.Palabras clave: Ligamento cruzado anterior. Proteína C reactiva. Artritis séptica. Nivel de evidencia: IV Inflammatory blood marker patterns following uncomplicated arthroscopically-assisted anterior cruciate ligament reconstruction AbstractBackground: The purpose of this report was to determine the levels of inflammatory blood markers over the time after a successful arthroscopic anterior ligament reconstruction and to analyze if any variable of surgical treatment alter this blood marker. Methods: A prospective review was conducted including all anterior cruciate ligament reconstructions performed in our institution between December 2012 and December 2013. C-reactive protein, erythrocyte sedimentation rate and white blood cell count were determined before surgery and at days 1, 15 and 30 postoperatively. Different variables of surgical treatment were collected: ischemic and surgical time, type of graft, associated injuries or type of treatment (meniscal suture, microfractures, etc.

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“…CRP as a systemic inflammatory parameter shows high sensitivity in acute infection conditions and low sensitivity in chronic infections. A secondary increase in CRP in the postoperative course is suggestive of infection as is a tenfold elevation of the normal value in the first postoperative week [36, 52]. The value of imaging in infections after ACL‐R is secondary.…”

Section: Diagnosismentioning

confidence: 99%

ESSKA and EBJIS recommendations for the management of infections after anterior cruciate ligament reconstruction (ACL‐R): prevention, surgical treatment and rehabilitation

Pérez-Prieto

Totlis

Madjarevic

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose Infection after anterior cruciate ligament reconstruction (ACL-R) is a rare but severe complication. Despite an increase in articles published on this topic over the last decade, solid data to optimized diagnostic and therapeutic measures are scarce. For this reason, the European Bone and Joint Infection Society (EBJIS) and the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) collaborated in order to develop recommendations for the diagnosis and management of infections after ACL-R. The aim of the workgroup was to perform a review of the literature and provide practical guidance to healthcare professionals involved in the management of infections after ACL-R. Methods An international workgroup was recruited to provide recommendations for predefined clinical dilemmas regarding the management of infections after ACL-R. MEDLINE, EMBASE, Cochrane Library and Scopus databases were searched for evidence to support the recommended answers to each dilemma. Results The recommendations were divided into two articles. The first covers etiology, prevention, diagnosis and antimicrobial treatment of septic arthritis following ACL-R and is primarily aimed at infectious disease specialists. This article includes the second part of the recommendations and covers prevention of infections after ACL-R, surgical treatment of septic arthritis following ACL-R and subsequent postoperative rehabilitation. It is aimed not only at orthopedic surgeons, but at all healthcare professionals dealing with patients suffering from infections after ACL-R. Conclusion These recommendations guide clinicians in achieving timely and accurate diagnosis as well as providing optimal management, both of which are paramount to prevent loss of function and other devastating sequelae of infection in the knee joint. Level of evidence V.

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Evolution of C-reactive protein values in the first month after anterior cruciate ligament reconstruction: reference values

Cited by 14 publications

References 30 publications

Professional Athletes Are Not at a Higher Risk of Infections After Anterior Cruciate Ligament Reconstruction: Incidence of Septic Arthritis, Additional Costs, and Clinical Outcomes From the French Prospective Anterior Cruciate Ligament Study (FAST) Cohort

Professional Athletes Are Not at a Higher Risk of Infections After Anterior Cruciate Ligament Reconstruction: Incidence of Septic Arthritis, Additional Costs, and Clinical Outcomes From the French Prospective Anterior Cruciate Ligament Study (FAST) Cohort

Evolución de los reactantes de fase aguda tras la reconstrucción no complicada del ligamento cruzado anterior por vía artroscópica. [Inflammatory blood marker patterns following uncomplicated arthroscopically-assisted anterior cruciate ligament reconstruction.]

ESSKA and EBJIS recommendations for the management of infections after anterior cruciate ligament reconstruction (ACL‐R): prevention, surgical treatment and rehabilitation

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