文章简介

出版社:Journal of Orthopaedic Surgery

作   者:James Wee, Keng Thiam Lee

编   号:

年   份:2014    点击量:1244

文章摘要

Septic arthritis following arthroscopic anterior cruciate ligament reconstruction (ACL) is a rare complication and associated with severe morbidity. Its risk factors include (1) concomitant procedures during the reconstruction, (2) previous knee surgery, (3) allograft usage, (4) peri-operative wound contamination, and (5) presence of intra-articular foreign bodies. We present a series of 3 men and one woman aged 22 to 35 years who developed septic arthritis following ACL reconstruction. The risk factors identified were local infection (n=2), previous ipsilateral knee surgery (n=2), and the use of an allograft (n=1). All patients underwent emergency knee washout and debridement with graft retention within 24 hours, together with a course of intravenous antibiotic therapy. All the patients achieved eradication of their infections (with intact ACL grafts) and satisfactory functional outcome at a mean follow-up of 32 (range, 25–45) months.

关节镜下前交叉韧带(ACL)重建术后脓毒性关节炎是一种罕见的并发症,并伴有严重的发病率。其风险因素包括(1)重建期间的合并手术;(2)先前的膝关节手术;(3)异体移植物的使用;(4)围手术伤口沾染;(5)关节内存在异物。本文报道了年龄在22岁至35岁之间的3例男性患者和1例女性患者,表现为前交叉韧带重建术后患脓毒性关节炎。确定的风险因素有局部感染(n=2)、先前的同侧膝关节手术(n=2)和异体移植物的使用(n=1)。所有患者24小时内均接受紧急膝关节冲洗和移植物保留清创术,同时进行静脉抗生素治疗。平均随访32个月时(范围25-45),所有患者均根除感染(前交叉韧带移植物未受损伤),并取得了令人满意的功能预后。

 

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原文来自:Journal of Orthopaedic Surgery