Septic Arthritis After Anterior Cruciate Ligament Reconstruction: How Important Is Graft Salvage?

The American Journal of Sports Medicine
Jonas PogorzelskiStefan Buchmann

Abstract

Septic arthritis (SA) of the knee after anterior cruciate ligament reconstruction (ACLR) is a rare but potentially devastating condition. In certain cases, graft removal becomes necessary. To evaluate clinical, subjective, and radiologic outcomes of patients with SA after ACLR and assess whether graft retention has superior clinical results as compared with graft removal. Cohort study; Level of evidence, 3. All patients who were at least 12 months out from arthroscopic treatment of SA after isolated ACLR at our institution were eligible for inclusion. Patients were categorized into 2 groups: group 1, patients with initial graft retention; group 2, patients with initial graft removal. Group 2 was subdivided into 2 groups: group 2a, patients with graft reimplantation; group 2b, patients without graft reimplantation. Objective and subjective assessments were obtained at follow-up, including the International Knee Documentation Committee (IKDC) knee examination form, KT-1000 arthrometer measurements, WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) score, Lysholm score, and IKDC subjective evaluation. Radiologic assessment was performed with pre- and postoperative magnetic resonance imaging. Of the 41 patients...Continue Reading

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Citations

Dec 5, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp SchusterJörg Richter
Feb 6, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp SchusterJörg Richter
Feb 8, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp SchusterJörg Richter
May 23, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Porter YoungJeffrey Brunelli
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
Dec 8, 2021·Der Unfallchirurg·Michael OstiNicolas Haffner

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