Functional Outcome and Graft Retention in Patients With Septic Arthritis After Anterior Cruciate Ligament Reconstruction: A Systematic Review

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Eric C MakhniChristopher S Ahmad

Abstract

To provide a comprehensive review of clinical and functional outcomes after treatment for septic arthritis after anterior cruciate ligament reconstruction. A systematic review of the literature was performed. Two reviewers assessed and confirmed the methodologic quality of each study. Studies that met the inclusion criteria were assessed for pertinent data, and when available, similar outcomes were combined to generate frequency-weighted means. Nineteen studies met the inclusion and exclusion criteria for this review, reporting on a total of 203 infected knees. The mean age was 27.5 years and the mean length of follow-up was 44.2 months, with male patients comprising 88% of the population. Hamstring and bone-patellar tendon-bone autografts were used in 63% and 33% of patients, respectively, with 78% of patients retaining their grafts. The studies reported mean flexion and extension deficits of 5.8° and 1.0°, respectively, and laxity testing showed a mean difference of 1.9 mm. The studies reported mean Lysholm, International Knee Documentation Committee, and Tegner scores of 82.1, 68.2, and 5.6, respectively. Of the patients, 83% reported an ability to return to activities of daily living whereas 67% reported a return to their p...Continue Reading

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Citations

Jan 9, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H Lubowitz
Sep 29, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·T BauerJ Y Jenny
Jul 6, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H Lubowitz
Jul 6, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H LubowitzMichael J Rossi
Jul 6, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H Lubowitz
Mar 28, 2017·Orthopaedics & Traumatology, Surgery & Research : OTSR·B MesterC Schoepp
Mar 8, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp SchusterJörg Richter
Jul 17, 2018·The American Journal of Sports Medicine·Jonas PogorzelskiStefan Buchmann
Jan 19, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jan-Hendrik NaendrupThomas R Pfeiffer
Sep 11, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shinya YamasakiHiroaki Nakamura
Feb 6, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp SchusterJörg Richter
Jul 25, 2018·Archives of Orthopaedic and Trauma Surgery·Karl-Friedrich SchüttlerTurgay Efe
Feb 8, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp SchusterJörg Richter
Dec 6, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Giuseppe Gianluca CostaStefano Zaffagnini
Apr 27, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James Michael Paci
Dec 7, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alexander ThemesslStefan Buchmann

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