Fungal Infection Following Replacement of the Anterior Cruciate Ligament

Fungal osteomyelitis after arthroscopic anterior cruciate ligament reconstruction: a case report with review of the literature

“…However, we experienced a case of massive distal femoral bone loss induced by fungal infection after ACL reconstruction. As the literature reviewed, only eight cases of fungal osteomyelitis with terrible bone destruction after ACL reconstruction were reported by three groups of authors [7][8][9]. Unlike the eight patients who suffered from Rhizopus, Candida albican or Phycomycoses infection, the patient reported by us was infected with Aspergillus.…”

Massive Bone Loss from Fungal Infection after Anterior Cruciate Ligament Arthroscopic Reconstruction

“…We identified only one reported case of fungal osteomyelitis after arthroscopic ACL reconstruction [1]. The authors described a patient with reconstruction of the ACL with an autogenous bone-patellar tendon-bone graft that was complicated by mucormycosis infection.…”

“…Timely treatment for osteomyelitis resulting from mucormycosis seems crucial [1,4,9,12]. The mild and insidious clinical presentation of this disease usually delays the diagnosis.…”

“…One case of fungal destructive tibial osteomyelitis has been described after reconstruction of an ACL [1]. There was an extensive area of necrotic bone leading to radical débridement and massive bone resection.…”

“…There was an extensive area of necrotic bone leading to radical débridement and massive bone resection. Compared with a pyogenic infection, fungal infections produce few tissue reactions and usually progress through a more indolent course, leading to massive bone destruction [1,9,13].…”