Infections and Patellar Tendon Ruptures After Anterior Cruciate Ligament Reconstruction

Benner, Rodney W.; Shelbourne, K. Donald; Freeman, Heather

doi:10.1177/0363546510388163

Cited by 40 publications

(37 citation statements)

References 25 publications

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“…However, complications such as fracture of the patella or the proximal portion of the tibia and patellar tendon rupture are clearly attributed to the process of collecting the patellar graft. 15 …”

Section: Discussionmentioning

confidence: 99%

Contralateral Patellar Tendon Autograft in Anterior Cruciate Ligament Reconstruction

Júnior¹,

Neto²,

Borges³

et al. 2018

Acta ortop. bras.

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Objective:To conduct a systematic review of literature about the use of contralateral patellar tendon autograft in anterior cruciate ligament reconstructions and present the results. Methods:The LILACS, MEDLINE, Cochrane, PubMed, Scielo and Google Scholar databases were searched without date restrictions for the keywords “anterior cruciate ligament reconstruction” combined with “contralateral” in the article title. After the studies were identified, two independent evaluators collected the qualitative characteristics of the studies and classified them according to clinical outcomes of these grafts as positive, neutral, or negative. Results:A total of 755 articles were found initially, and after detailed evaluation of all references, followed by a screening process and assessment of quality, a total of 11 studies were determined to be eligible for inclusion in this systematic review. Of these, 72.72% were level II studies, the most common level of evidence among the results. Positive results for this type of graft were found in 63.63% of the studies. Conclusion:Based on the literature review, most of the included articles (63.63%) presented positive results for the use of contralateral patellar tendon grafts. Level of Evidence III; Systematic review.

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Section: Discussionmentioning

confidence: 99%

Contralateral Patellar Tendon Autograft in Anterior Cruciate Ligament Reconstruction

Júnior¹,

Neto²,

Borges³

et al. 2018

Acta ortop. bras.

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“…Furthermore, some systemic pathologies and medications [43] can affect tendons' structure and integrity. Predisposing factors for rupture are local corticosteroid injections [43], diabetes [43][44][45], microtrauma [44], inflammatory disorders (e.g., rheumatoid arthritis) [41], metabolic disorders (e.g., diabetes) [41], iatrogenic lesions (e.g., ACL reconstruction with patellar tendon graft) [46], and fluoroquinolones [47, 48]. For these reasons, the surgeon has to carefully investigate on previous episodes of pain and on comorbidities that can affect tendons and patella.…”

Section: Extensor Mechanism Failurementioning

confidence: 99%

Painful knee arthroplasty: current practice

Cottino

Rosso

Pastrone

et al. 2015

Curr Rev Musculoskelet Med

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Primary total knee arthroplasty is the treatment for end-stage arthritis of the knee; in the last years, it is becoming more common and reliable, due to technical and implant improvement. With larger implant rates, the overall complications will increase and pain is the most common sign of implant failure. Pain can be related to a lot of different clinical findings, and the surgeon has to be aware of the various etiologies that can lead to failure. Pain does not always mean revision, and the patient has to be fully evaluated to have a correct diagnosis; if surgery is performed for the wrong reason, this will surely lead to a failure. In this paper, the authors revised the more common causes of failure that can have a painful onset proposing an approach for diagnosis and treatment.

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“…1 2 Infection post-ACL reconstruction is a rare complication, but potentially severe, with an incidence ranging from 0.14% to 1.8%. 1 3 4 5 6 7 The development of infection is associated with a substantial morbidity (loss of the graft used in the reconstruction, chondral degeneration, arthrofibrosis, and osteoarthrosis), in addition to functional loss. 8 9 In an infection after ACL reconstruction, signs and symptoms, such as pain, joint effusion, temperature increase, and movement restriction, are nonspecific and can be acute or late alterations.…”

Section: Introductionmentioning

confidence: 99%

“…1 2 Infecção após a reconstrução do LCA é complicação rara, mas potencialmente grave, com incidência entre 0,14% e 1,8%. 1 3 4 5 6 7 O desenvolvimento do quadro infeccioso está associado a morbidade substancial (perda do enxerto usado na reconstrução, degeneração condral, artrofibrose e osteoartrose), além de perda funcional. 8 9 No caso de infecção após reconstrução do LCA, sinais e sintomas como dor, derrame articular, aumento da temperatura e restrição do movimento são inespecíficos e podem surgir como alterações agudas ou tardias.…”

Section: Introductionunclassified

Contaminação de enxertos de tendões flexores na reconstrução do ligamento cruzado anterior: comparação de duas técnicas de retirada

et al. 2019

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ResumoAvaliar a taxa de contaminação de autoenxerto de tendões flexores comparando duas técnicas e verificar se a contaminação intraoperatória está associada ao desenvolvimento de infecção clínica em pacientes submetidos a reconstrução do ligamento cruzado anterior.Foram feitas 110 reconstruções do ligamento cruzado anterior com tendão dos flexores e divididas em dois grupos: 1) técnica com retirada total dos tendões flexores e 2) técnica que manteve a inserção tibial desses tendões. Durante o preparo, dois fragmentos de cada um desses foram enviados para cultura, sendo mensurado o tempo de retirada dos tendões, do preparo dos tendões e total da cirurgia. Com 24 horas de pós-operatório, foi dosada a proteína C reativa. Seguimento clínico ambulatorial foi realizado de forma protocolada até 180 dias de pós-operatório.Apesar de terem sido observadas duas infecções pós-operatórias, não houve contaminação dos enxertos nem diferença entre os grupos em relação ao tempo de preparo dos enxertos e a proteína C reativa com 24 horas de pós-operatório. A técnica clássica apresentou maior tempo de retirada do enxerto (p = 0,038) e não houve diferença estatística entre os dois grupos no que tange ao grau de contaminação e consequente infecção clínica, embora dois pacientes do grupo 2 tenham tido infecção com culturas perioperatórias negativas.Com base nos resultados obtidos, não houve associação entre contaminação do enxerto com o tempo ou a técnica de sua preparação, tampouco entre a contaminação intraoperatória e o desenvolvimento de infecção clínica ou entre alteração precoce da proteína C reativa e o surgimento de infecção.

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Infections and Patellar Tendon Ruptures After Anterior Cruciate Ligament Reconstruction

Cited by 40 publications

References 25 publications

Contralateral Patellar Tendon Autograft in Anterior Cruciate Ligament Reconstruction

Contralateral Patellar Tendon Autograft in Anterior Cruciate Ligament Reconstruction

Painful knee arthroplasty: current practice

Contaminação de enxertos de tendões flexores na reconstrução do ligamento cruzado anterior: comparação de duas técnicas de retirada

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