The Importance of Irrigation Suction Drainage in the Treatment of Septic Arthritis After Anterior Cruciate Ligament Reconstruction

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

The relationship between posterior tibial slope and anterior cruciate ligament injury

Ristić¹,

Maljanović²,

Pericin³

et al. 2014

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“…These infections can compromise the result of surgery and endanger the patient's health [8][9][10][11]. The importance of early diagnostics is even greater because improper diagnostics and treatment can lead to graft failure, instability, and limited range of motion of knee joint, as well as the life-threatening condition of patient [6].…”

Section: Introductionmentioning

confidence: 99%

Infections after reconstructions of anterior cruciate ligament

Ristić¹,

Maljanović²,

Harhaji³

et al. 2014

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The following population groups are at risk of developing septic arthritis after anterior cruciate ligament reconstructions: professional athletes, those who are allergic to penicillin, and those with immunosuppressive diseases. Staphyllococus aureus is the most common cause of infection. The patients with the hamstring autografts have a higher risk than those with the patellar tendon grafts. Preventive measures that should be performed include aseptic conditions in operative rooms, irrigation of the graft before its placement into the bone tunnels, experience of surgeon and proper antibiotics.

“…Infection is a rare complication in ACL reconstructions with autografts. The prevalence of septic arthritis after those operations has been reported to range from 0.15% to 6%, mostly under 2% [19,[35][36][37][38][39][40]. Infection can be acute (most often caused by Staphylococcus) or chronic (after 6 weeks).…”

Section: Discussionmentioning

confidence: 99%

Complications of anterior cruciate ligament reconstructions

Ristić¹,

Vranješ

Obradović

et al. 2017

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Introduction. The aim of study was to analyze the results and complications of anterior cruciate ligament reconstructions, treatment and prevention possibilities. Material and Methods. We performed 210 operations: 175 with patellar tendon graft and 35 with hamstring tendons. Men were 7 times more present in our survey. The average age being 27.1 years. The average follow up was 3.2 years. The participants answered a modified Knee Ostedoarthritis Outcome Scale questionnaire set. We used clinical examination tests (Range of motion, Lachman and pivot shift) and postoperative X-rays. Results. The complication?s rate was 9% (19 patients). In patellar tendon group we registered one patellar fracture and pulmonary tromboembolism and two cases of cyclops lesions. Septic arthritis was more common among professional athletes and in hamstring tendons group. Reoperations had to be performed: in 5 cases of infections (continous irrigation and drainage), two arthrofibrosis and one osteosynthesis of patella. Graft had to be removed in 2.5% of cases and revisions happened mostly because of impropriate position of bone tunnels and new trauma. One algodystrophic syndrome happened in hamstring tendons group. Complications were successfully treated in 12 cases but 5 patients had knee contractures, so average Knee Ostedoarthritis Outcome Scale score was 88.2 points in comparison to 93.8 points in patients without complications. Seventy-three percent of patients returned to nonrestricted (sport) activities. Complications can compromise the final results of anterios cruciate ligament reconstructions. We registered similar complication rates between different grafts. Some of complications had almost every eleventh patient that resulted with reoperation at every eighteenth of them. Conclusion. The most of complications can be prevented and treated successfuly althought many questions are still left opened.