Complications In Brief: Arthroscopic Partial Meniscectomy

Kinsella, Stuart D.; Carey, James L.

doi:10.1007/s11999-012-2735-3

Cited by 15 publications

(14 citation statements)

References 19 publications

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“…114,115 Complications MR imaging may be helpful in assessing many of the possible complications after meniscus surgery (Box 2). 116,117 The self-reported complication rate for meniscectomy (2.8%) is lower than for meniscus repair (7.6%). 118 By comparison, the self-reported complication rates for reconstruction of the ACL (9%) and posterior cruciate ligament (20%) are higher than for meniscus procedures.…”

Section: Postoperative Mr Imaging: Outcomes and Interpretationmentioning

confidence: 97%

Magnetic Resonance Imaging of the Postoperative Meniscus

Boutin

Fritz²,

Marder

2014

Magnetic Resonance Imaging Clinics of North America

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Section: Postoperative Mr Imaging: Outcomes and Interpretationmentioning

confidence: 97%

Magnetic Resonance Imaging of the Postoperative Meniscus

Boutin

Fritz²,

Marder

2014

Magnetic Resonance Imaging Clinics of North America

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“…Post-arthroscopic knee infections are more common in patients with obesity, smokers, patients undergoing complex procedures, men, patients with diabetes, and in procedures with time > 60 min [15][16][17][18]. Surgical site infections (SSIs) are usually caused by commensals.…”

Section: Discussionmentioning

confidence: 99%

Knee septic arthritis caused by α-hemolytic Streptococcus in a patient with a recent history of knee arthroscopy: a case report

et al. 2019

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Background: Arthroscopic partial meniscectomy is a common procedure in orthopedic practice. Infections are uncommon complications of this procedure with an incidence rate of 0,01% -3,4%. Staphylococcus spp are the predominant causative agents in such cases. We present a case of knee septic arthritis caused by α-hemolytic Streptococcus.Case presentation: A 22-year-old woman diagnosed with obesity (body mass index [BMI] 35 kg/m 2 ) but with no other major comorbidities underwent an arthroscopic selective meniscectomy with administration of intravenous cefazolin for antibiotic prophylaxis. After an uneventful period of 2 months, the patient returned with pain, fever and a discharging sinus at the site of anterolateral arthroscopic portal. Blood tests and magnetic resonance imaging revealed osteomyelitis involving the tibial plate. Cultures of synovial fluid obtained from the knee and a pharyngeal swab yielded α-hemolytic Streptococcus. Five days later, the patient underwent arthroscopic debridement with partial synovectomy. Intraoperative specimens yielded α-hemolytic Streptococcus. The patient received intravenous piperacillin/tazobactam, followed by an associative regimen of amoxicillin and clindamycin with clinical, laboratory and instrumental evidence of symptom resolution. Conclusion: The incidence of knee septic arthritis after arthroscopic partial meniscectomy is 0.01-3.4%. This infection is usually caused by Staphylococcus spp. and in rare cases by commensal bacteria, such as α-hemolytic streptococci, secondary to transient bacteremia. Screening of the colonized area is important to prevent possible transient bacteremia. Diagnosis is based on isolation of the causative organisms from synovial fluid cultures, and treatment comprises arthroscopic debridement with individualized systemic antibiotic therapy based on the results of an antibiogram.

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“…9 The general rate of infection has recently been reported among about 432,000 arthroscopies. 1 The incidence of infection requiring reoperation after knee arthroscopy from 2004 to 2009 was 0.15% in this collective of patients.…”

Section: Discussionmentioning

confidence: 99%