IR@PKUHSC  > 北京大学第三临床医学院  > 运动医学研究所
学科主题临床医学
Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction: A Retrospective Analysis of Incidence, Presentation, Treatment, and Cause
Wang, Cheng; Ao, Yingfang; Wang, Jianquan; Hu, Yuelin; Cui, Guoqing; Yu, Jiakuo
关键词Anterior Cruciate Ligament Reconstruction Complication Septic Arthritis
刊名ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
2009-03-01
DOI10.1016/j.arthro.2008.10.002
25期:3页:243-249
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Orthopedics ; Surgery
研究领域[WOS]Orthopedics ; Surgery
关键词[WOS]INFECTIONS ; GRAFT ; RISK ; KNEE
英文摘要

Purpose: The purpose of this report is to summarize our experience in the diagnosis and management of septic arthritis after anterior cruciate ligament (ACL) reconstruction. Methods: A retrospective review was conducted of all the arthroscopic ACL reconstructions performed at our institution between 1997 and 2007. Postoperative septic arthritis occurred in 21 of 4,068 patients. The incidence, cause, presentation, laboratory results, and treatment of all infected patients were analyzed. Results: The incidence of septic arthritis after ACL reconstruction was 0.52%. The most common symptoms of the infected patients were fever, swelling, severe pain, tenderness, and restricted motion. The erythrocyte sedimentation rate, C-reactive protein level, and fibrinogen level were markedly elevated. Microbiology showed that coagulase-negative Staphylococcus was the most common bacterium. Both conservative and operative treatments were effective, and no patient had the ACL graft removed. However, the conservative group had a longer recovery time and duration of intravenous antibiotic therapy. Conclusions: Septic arthritis after arthroscopic ACL reconstruction is a rare but potentially devastating complication. The correct diagnosis relies on clinical evaluation, laboratory tests, synovial fluid analysis, and bacterial culture. With early diagnosis and prompt treatment, the infection can be successfully eradicated. Our proposed treatment protocol is arthroscopic debridement and irrigation as quickly as possible, with retention of the ACL graft when it is still functional. Level of Evidence: Level IV, therapeutic case series.

语种英语
WOS记录号WOS:000264488200005
引用统计
被引频次:47[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52196
专题北京大学第三临床医学院_运动医学研究所
作者单位Peking Univ, Hosp 3, Inst Sports Med, Beijing 100083, Peoples R China
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GB/T 7714
Wang, Cheng,Ao, Yingfang,Wang, Jianquan,et al. Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction: A Retrospective Analysis of Incidence, Presentation, Treatment, and Cause[J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY,2009,25(3):243-249.
APA Wang, Cheng,Ao, Yingfang,Wang, Jianquan,Hu, Yuelin,Cui, Guoqing,&Yu, Jiakuo.(2009).Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction: A Retrospective Analysis of Incidence, Presentation, Treatment, and Cause.ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY,25(3),243-249.
MLA Wang, Cheng,et al."Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction: A Retrospective Analysis of Incidence, Presentation, Treatment, and Cause".ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY 25.3(2009):243-249.
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