Septic arthritis of the knee following anterior cruciate ligament reconstruction : Results of a survey of Sports Medicine Fellowship directors.
To determine the incidence of joint sepsis following anterior cruciate ligament (ACL) reconstruction and the prevailing attitudes toward its treatment. we surveyed the directors of Sports Medicine Fellowship programs about their practices in treating and preventing this complication.
Of the 74 surgeons surveyed. 61 (82%) responded.
These 61 surgeons performed an average of 98 ACL reconstructions yearly ; 31 (51%) routinely used a drain after ACL surgery. 18 (30%) had treated an ACL infection within the past 2 years, and 26 (43%) had treated an infection within the past 5 years.
There was no significant difference in the number of infections and the surgeons case load, graft choice, or method of reconstruction.
Fifty-two surgeons (85%) selected culture-specific intravenous (IV) antibiotics and surgical irrigation of the joint with graft retention as initial treatment for the infected patellar tendon autograft. and 39 (64%) chose this regimen to treat the infected allograft.
For the resistant infection unresponsive to initial treatment.
IV antibiotics with surgical irrigation and graft retention were also selected as the most common treatment combination for 25 (39%) of the 61 respondents.
After graft removal, the earliest a revision procedure would be considered was 6 to 9 months.
The results of this survey confirm the widely held belief that septic arthritis of the knee is a relatively rare complication following ACL reconstruction. (...)
Mots-clés Pascal : Reconstruction anatomique, Ligament croisé antérieur, Complication, Arthrite, Genou, Infection, Postopératoire, Médecine sport, Evaluation, Epidémiologie, Incidence, Prévalence, Questionnaire, Homme, Traitement, Membre inférieur, Chirurgie orthopédique, Système ostéoarticulaire pathologie, Arthropathie, Genou pathologie, Bactériose
Mots-clés Pascal anglais : Anatomical reconstruction, Anterior cruciate ligament, Complication, Arthritis, Knee, Infection, Postoperative, Sports medicine, Evaluation, Epidemiology, Incidence, Prevalence, Questionnaire, Human, Treatment, Lower limb, Orthopedic surgery, Diseases of the osteoarticular system, Arthropathy, Knee disease, Bacteriosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0499895
Code Inist : 002B05B02J. Création : 19/02/1999.