Graft Infection following Arthroscopic Anterior Cruciate Ligament Reconstruction: A Report of Four Cases

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...

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Bibliographic Details
Published in:Journal of orthopaedic surgery (Hong Kong) 2014-04, Vol.22 (1), p.111-117
Main Authors: Wee, James, Lee, Keng Thiam
Format: Article
Language:English
Subjects:
Adult
Allografts
Anterior Cruciate Ligament Reconstruction - adverse effects
Anterior Cruciate Ligament Reconstruction - methods
Anti-Bacterial Agents - therapeutic use
Arthritis
Arthritis, Infectious - etiology
Arthritis, Infectious - therapy
Arthroscopy - adverse effects
Arthroscopy - methods
Debridement
Female
Follow-Up Studies
Humans
Knee
Ligaments
Male
Prosthesis-Related Infections - etiology
Prosthesis-Related Infections - therapy
Retrospective Studies
Skin & tissue grafts
Young Adult
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Summary: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.
ISSN:1022-5536
2309-4990
DOI:10.1177/230949901402200128