北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 运动医学研究所  > 期刊论文
学科主题: 临床医学
题名:
Recommendations for the management of septic arthritis after ACL reconstruction
作者: Wang, Cheng1; Lee, Yee Han Dave2; Siebold, Rainer3,4
关键词: Anterior cruciate ligament ; Septic arthritis ; Treatment ; Staphylococcus aureus
刊名: KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
发表日期: 2014-09-01
DOI: 10.1007/s00167-013-2648-z
卷: 22, 期:9, 页:2136-2144
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Orthopedics ; Sport Sciences ; Surgery
研究领域[WOS]: Orthopedics ; Sport Sciences ; Surgery
关键词[WOS]: CRUCIATE LIGAMENT RECONSTRUCTION ; STAPHYLOCOCCUS-AUREUS ; INFECTION ; KNEE ; DESTRUCTION ; SURGERY ; GRAFT
英文摘要:

To evaluate the current evidence for the management of septic arthritis after anterior cruciate ligament (ACL) reconstruction, the factors that affect the outcome after treatment and the retention of graft and implants.

A systematic literature search of the PubMed database was performed on septic arthritis after ACL reconstruction. A total of 301 publications were initially identified, and 17 papers were found to fulfil the criteria to be included in the review.

There were 196 cases of septic arthritis after ACL reconstruction in over 30,000 ACL reconstructions, making the proportion of infection 0.6 %. Most patients (114/123, 92.6 %) had an acute or subacute infection at an average of 16.8 +/- A 10.5 days after ACL reconstruction. Coagulase-negative Staphylococci (CNS) was the most common organism (67/147, 45.6 %) followed by Staphylococcus aureus (SA) (35/147, 23.8 %); 86.9 % underwent surgical treatment of which 92.8 % had an average of 1.54 (up to 4) arthroscopic debridements. The group with SA infection had a higher graft removal rate (33.3 %, p = 0.019), a longer antibiotic duration (35.4 days, p = 0.047) and a worse range of flexion (111.5A degrees, p = 0.036) than the CNS group.

CNS was the most common organism in septic arthritis after ACL reconstruction followed by SA. For most authors, arthroscopic debridement combined with intravenous antibiotic therapy was the initial treatment of choice. Antibiotic therapy with or without multiple irrigations of the joint is not recommended based on the high failure rates. Delayed diagnosis of more than 7 days or SA infection required a longer duration of antibiotic therapy and increased the likelihood for graft removal and restricted range of motion. Fungal infection and tubercular infection had a high prevalence of late diagnosis and open debridement.

Systematic review, Level IV.

语种: 英语
WOS记录号: WOS:000341091100023
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67351
Appears in Collections:北京大学第三临床医学院_运动医学研究所_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Changi Gen Hosp, Dept Orthoped Surg, Singapore, Singapore
2.Peking Univ, Hosp 3, Inst Sports Med, Beijing 100191, Peoples R China
3.ATOS Hosp Heidelberg, HKF Ctr Hip Knee Foot Surg & Sportstraumatol, Heidelberg, Germany
4.Heidelberg Univ, Inst Anat & Cell Biol, Heidelberg, Germany

Recommended Citation:
Wang, Cheng,Lee, Yee Han Dave,Siebold, Rainer. Recommendations for the management of septic arthritis after ACL reconstruction[J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,2014,22(9):2136-2144.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Wang, Cheng]'s Articles
[Lee, Yee Han Dave]'s Articles
[Siebold, Rainer]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Wang, Cheng]‘s Articles
[Lee, Yee Han Dave]‘s Articles
[Siebold, Rainer]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace