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Int Orthop. 2016 Mar;40(3):607-14. doi: 10.1007/s00264-015-2884-6. Epub 2015 Aug 4.

Managing septic arthritis after knee ligament reconstruction.

Author information

1
Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain. rtorresclaramunt@parcdesalutmar.cat.
2
IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain. rtorresclaramunt@parcdesalutmar.cat.
3
Orthopaedic Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Sant Antoni Maria Claret 167, 08025, Barcelona, Spain.
4
Orthopaedic Department, Consorci Sanitari de l'Anoia, Avinguda Catalunya 11, 08700, Igualada, Barcelona, Spain.
5
Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.
6
IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain.

Abstract

PURPOSE:

Joint infection after anterior cruciate ligament (ACL) reconstruction is uncommon but has potentially serious consequences for the graft and articular cartilage. Most recently published series are in agreement that an urgent arthroscopic washout and antibiotic treatment are mandatory to preserve both graft and cartilage. However, several questions have not as yet been touched upon.

METHODS:

We performed a literature review to assess the most interesting series published about this issue.

RESULTS:

In this review, a management protocol is first presented that discusses the different diagnostic parameters to consider and surgical and antibiotic treatment suggested according to the literature. Outcomes published in different series are also discussed.

KEYWORDS:

ACL; Anterior cruciate ligament; Antibiotic; Debridement; Infection; Joint infection; Knee; Septic arthritis

PMID:
26239533
DOI:
10.1007/s00264-015-2884-6
[Indexed for MEDLINE]

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