Septic Arthrt anitis after Arthroscopic Anterior Cruciate Ligament Reconstruction

Abstract

The graft can be retained during treatment of septic arthritis after anterior cruciate ligament reconstruction.

Evaluation of Infection after Anterior Cruciate Ligament Reconstruction during a Short Period

“…Indications for graft removal after infection in ACL reconstruction include unstable grafts necessitating clinical examination or arthroscopic evaluation and grafts impregnated with tenacious and thick exudation that cannot be removed without damaging the graft and delaying treatment after the onset of symptoms1,11,12). In our study, only 1 case underwent revision ACL reconstruction after graft removal and infection control for persistent infection refractory to treatment.…”

“…Van Tongel et al1) reported postoperative septic arthritis occurred in 9 (0.51%) of 1,736 patients during a period of 10 years. They obtained good results by performing urgent extensive arthroscopic debridement with antibiotic therapy and repeat debridement if there was no response.…”

“…Infection does not commonly occur after an arthroscopic surgery. Septic arthritis after ACL reconstruction is also a rare complication, with a reported incidence of 0.14%–1.70%1). However, immediate treatment of the infection after surgery is important to avoid complications such as damage to the cartilage and arthrofibrosis2).…”

Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions

“…23 In a small percentage of patients, trauma to the thigh and knee may be something more serious than the commonly occurring contusions, muscle strains, cartilage tears or ligament disorders, such as fracture, 5 knee dislocation, 110 or neurovascular compromise. 110 In addition, following surgical intervention, serious conditions may develop, such as arthrofibrosis, 91,92 postoperative infection and septic arthritis, 134 deep vein thrombosis, 106 and patella fractures. 130 Vigilance is warranted for these conditions.…”

“…The following differential diagnosis has been suggested for knee pain based on anatomical site 22 : Anterior knee painPatellar subluxation or dislocationPatellar apophysitis (Singing-Larsen-Johansson lesion)Tibial apophysitis (Osgood-Schlatter lesion)Patellar tendinitis (Jumper’s knee)Patellofemoral pain syndromeMedial knee painTibial (Medial) collateral ligament sprainMedial meniscal tearPes anserine bursitisMedial plica syndromeMedial articular cartilage lesionLateral knee painFibular (Lateral) collateral ligament sprainLateral meniscal tearIliotibial band syndromeLateral articular cartilage lesionPosterior knee painPopliteal cyst (Baker’s cyst)Posterior cruciate ligament injuryPosterolateral corner injuryDistal hamstrings injuryProximal gastrocnemius injuryNonspecific knee and thigh/leg symptoms 5,22,91,92,106,110,134 ArthrofibrosisDeep vein thrombosisDislocationFractureNeurovascular compromiseOsteoarthritisSeptic arthritisReferred pain from hip pathologyPeripheral nerve entrapmentLumbar radiculopathy …”