|
KMID : 1037920160030010040
|
|
Arthroscopy and Orthopedic Sports Medicine
2016 Volume.3 No. 1 p.40 ~ p.44
|
|
|
Infection after anterior cruciate ligament reconstruction
|
|
Kim Tae-Won
Kim Dong-Hwan
Oh Won-Seuk
Kim Byung-Kag
Sim Jae-Ang
Lee Beom-Koo
|
|
|
Abstract
|
|
|
Background: Infection following anterior cruciate ligament reconstruction is a rare complication. It warrants serious consideration because it can prolong the length of hospital stay and is associated with unfavorable postoperative outcomes. In some cases, even removal of the graft is necessary to treat the infection.
Methods: The study enrolled a total of 564 patients who underwent anterior cruciate ligament reconstruction between January 2003 and December 2013. We analyzed the overall rate of postoperative infection in these patients and the differences in postoperative infection rates according to the type of graft and the type of reconstruction technique used. We conducted a retrospective review of the medical records for all the patients with postoperative infection to define the causative bacterial strain, the initial onset of symptoms, the treatment modality, the duration of treatment, and the duration of antibiotic administration.
Results: We found that 7 patients, accounting to 1.24% of the total, developed postoperative infection. All 7 patients had received an autologous hamstring tendon graft. The identified causative bacterial strains were methicillin-resistant coagulase-negative Staphylococci in 4 cases, methicillin-sensitive Staphylococcus aureus in 1 case, and group B streptococcus in 1 case, along with 1 case of an unidentified strain. We found that the infection was completely resolved in all 7 patients after treatment, and none of the patients required the removal of the graft at any time during treatment. Six patients with joint infection had received an arthroscopic debridement and the remaining patient with superficial wound infection had received an open debridement. All patients had been administered intravenous antibiotics for 4 to 6 weeks after arthroscopic treatment.
Conclusion: A prompt diagnosis of the infection following anterior cruciate ligament reconstruction is important for its management. We believe that immediate irrigation and arthroscopic debridement followed by administration of antibiotics for 4 to 6 weeks is a beneficial treatment modality for both graft preservation and infection treatment.
|
|
|
KEYWORD
|
|
|
Postoperative infection, Anterior cruciate ligament reconstruction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|