Intraoperative Anterior Cruciate Ligament Graft Contamination

Pasque, Charles B.; Geib, Timothy M.

doi:10.1016/j.arthro.2005.12.010

Cited by 14 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,13 Although data on the clinical outcomes of using CLX are still lacking, no reported cases in the literature in which CLX was used to disinfect the ACL graft developed infection. 19,29 Three liters of 2% CLX power irrigation can be effectively used to disinfect a contaminated ACL graft without weakening the graft. 16 However, the biochemical effects of CLX on the tendon are still unknown.…”

mentioning

confidence: 99%

The Effects of Chlorhexidine Graft Decontamination on Tendon Graft Collagen and Cell Viability

et al. 2012

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

The Effects of Chlorhexidine Graft Decontamination on Tendon Graft Collagen and Cell Viability

et al. 2012

View full text Add to dashboard Cite

show abstract

“…On the basis of the work of Ventura et al 14 and Murray et al, 15 platelet-rich plasma seems to incorporate anterior cruciate ligament graft material better, with no negative effects.…”

Section: Graft Preparationmentioning

confidence: 97%

Anterior Cruciate Ligament Reconstruction Using Allograft

Yerys

2007

Sports Medicine and Arthroscopy Review

View full text Add to dashboard Cite

The author presents his current technique for reconstructing an isolated anterior cruciate ligament rupture using an allograft. The specific positioning and surgical steps are presented. Dangers to be avoided are included, which have led to this current technique. The step-by-step technique should enable the surgeon to reconstruct the ligament with little difficulty. The postoperative course including rehabilitation is discussed from postoperative day 1 to full restoration of activity.

show abstract

“…[2][3][4] Accidental contamination during intraoperative graft management, including falls to the operating room floor, may occur. 2,5 Accidental fall is a major cause of graft contamination during surgery. 4,6 The implantation of a contaminated graft may lead to septic arthritis, one of the most feared joint complications, with an incidence between 0.6% and 1.8% in ACL reconstruction surgeries.…”

Section: Introductionmentioning

confidence: 99%

“…Accidental contamination during intraoperative graft management, including falls to the operating room floor, may occur. 2 5 Accidental fall is a major cause of graft contamination during surgery. 4 6 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Descontaminação transoperatória de enxerto durante cirurgia de reconstrução do LCA

Luciano¹,

Macedo²,

Pereira³

et al. 2020

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

Objective To evaluate different decontaminants for tendon grafts, proposing an antiseptic protocol for contaminated grafts. Methods A total of 25 patients were tissue donors for the study. Each participant donated a 2.5-cm tendon sample, which was divided into 5 fragments with 5 mm each during anterior cruciate ligament (ACL) reconstruction surgery. The collected material was divided into 5 groups, totaling 125 samples. In total, four fragments of each patient were placed on the operating room floor for one minute for contamination, simulating the fall of the graft on the floor during surgery. The other fragment was immediately placed in a sterile container (group 1). One of the contaminated fragments was placed in the sterile container without being previously immersed in decontaminating solution (group 2). The remaining fragments were immersed for ten minutes in decontaminating solution: 0.5% chlorhexidine (group 3), 0.9% saline (group 4) and 0.55% ortho-phthalaldehyde (group 5), and, after this time, they were individually placed in a sterile container. The samples from the 5 groups were submitted to microbiological examination. Results Bacteria were detected in 26% of the total samples in the microbiological tests, and in group 1 there was no growth of microorganisms. In group 2, bacterial growth was observed in 16 samples. Considering the evaluation of test groups 3, 4 and 5, the percentage of decontamination was higher than the growth of microorganisms in the respective cultures. Conclusion The protocol suggested by the study showed that intraoperative graft decontamination is possible.

show abstract

Intraoperative Anterior Cruciate Ligament Graft Contamination

Cited by 14 publications

References 4 publications

The Effects of Chlorhexidine Graft Decontamination on Tendon Graft Collagen and Cell Viability

The Effects of Chlorhexidine Graft Decontamination on Tendon Graft Collagen and Cell Viability

Anterior Cruciate Ligament Reconstruction Using Allograft

Descontaminação transoperatória de enxerto durante cirurgia de reconstrução do LCA

Contact Info

Product

Resources

About