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
Recommendations for the management of septic arthritis after ACL reconstruction
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
2014-09-01
DOI10.1007/s00167-013-2648-z
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
引用统计
被引频次:20[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/400002259/67351
专题北京大学第三临床医学院_运动医学研究所
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
推荐引用方式
GB/T 7714
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.
APA Wang, Cheng,Lee, Yee Han Dave,&Siebold, Rainer.(2014).Recommendations for the management of septic arthritis after ACL reconstruction.KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,22(9),2136-2144.
MLA Wang, Cheng,et al."Recommendations for the management of septic arthritis after ACL reconstruction".KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 22.9(2014):2136-2144.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Wang, Cheng]的文章
[Lee, Yee Han Dave]的文章
[Siebold, Rainer]的文章
百度学术
百度学术中相似的文章
[Wang, Cheng]的文章
[Lee, Yee Han Dave]的文章
[Siebold, Rainer]的文章
必应学术
必应学术中相似的文章
[Wang, Cheng]的文章
[Lee, Yee Han Dave]的文章
[Siebold, Rainer]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。