TY - JOUR
T1 - Septic arthritis following anterior cruciate ligament reconstruction
T2 - a comprehensive review of the literature.
AU - Scully, William F.
AU - Fisher, Susan G.
AU - Parada, Stephen A.
AU - Arrington, Edward A.
PY - 2013
Y1 - 2013
N2 - Septic arthritis following anterior cruciate ligament (ACL) reconstruction is an uncommon but potentially serious complication. The incidence of infection is approximately 0.44%. Staphylococcus and streptococcus strains are the most common infectious pathogens. Infection is typically via direct inoculation. Articular cartilage damage is primarily the result of the unregulated host inflammatory response. The timing of presentation is typically <2 months following surgery. Presenting symptoms commonly mirror normal postoperative findings, making diagnosis difficult. Although laboratory inflammatory markers are often elevated, knee arthrocentesis is the gold standard for diagnosis. Treatment involves serial arthroscopic or open irrigation and debridement procedures and antibiotic management. Graft retention is often possible, although fixation implants may require removal or exchange. Successful results have been reported following infection eradication in both graft retention and early revision ACL reconstruction scenarios.
AB - Septic arthritis following anterior cruciate ligament (ACL) reconstruction is an uncommon but potentially serious complication. The incidence of infection is approximately 0.44%. Staphylococcus and streptococcus strains are the most common infectious pathogens. Infection is typically via direct inoculation. Articular cartilage damage is primarily the result of the unregulated host inflammatory response. The timing of presentation is typically <2 months following surgery. Presenting symptoms commonly mirror normal postoperative findings, making diagnosis difficult. Although laboratory inflammatory markers are often elevated, knee arthrocentesis is the gold standard for diagnosis. Treatment involves serial arthroscopic or open irrigation and debridement procedures and antibiotic management. Graft retention is often possible, although fixation implants may require removal or exchange. Successful results have been reported following infection eradication in both graft retention and early revision ACL reconstruction scenarios.
UR - http://www.scopus.com/inward/record.url?scp=84880554823&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880554823&partnerID=8YFLogxK
U2 - 10.3113/JSOA.2013.0127
DO - 10.3113/JSOA.2013.0127
M3 - Review article
C2 - 23628565
AN - SCOPUS:84880554823
SN - 1744-165X
VL - 22
SP - 127
EP - 133
JO - Seminars in Fetal and Neonatal Medicine
JF - Seminars in Fetal and Neonatal Medicine
IS - 2
ER -