Diagnosis and treatment of early joint infection after anterior cruciate ligament reconstruction

doi:10.3969/j.issn.2095-4344.1980

Abstract

Abstract:

BACKGROUND: Infection after anterior cruciate ligament reconstruction is a rare but serious complication. There is no unified standard for the diagnosis and treatment of infection after anterior cruciate ligament reconstruction.
OBJECTIVE: To investigate the diagnosis and treatment method of joint infection after anterior cruciate ligament reconstruction.
METHODS: The study was in accordance with the ethical requirements of Foshan Hospital of Traditional Chinese Medicine, and the patients signed the informed consents. Clinical data of 1 489 patients who underwent anterior cruciate ligament reconstruction were retrospectively analyzed. The clinical manifestations, laboratory examinations, treatment methods and clinical prognosis of highly suspected cases of postoperative infection were observed. The appropriate clinical diagnosis and treatment methods were summarized.
RESULTS AND CONCLUSION: (1) Postoperative joint infections occurred in 38 cases. The clinical manifestations were fever or local surgical orifice ulceration with joint swelling and pain, local skin temperature elevation, high-sensitivity C-reactive protein and erythrocyte sedimentation rate elevation, and the decreased positive rate of bacterial culture. (2) The treatment included active intravenous antibiotic therapy and arthroscopic synovial membrane cleaning and catheter irrigation and drainage. (3) All cases were cured. The patients were followed up for 12 months. The joint movement and function were good. (4) To conclude, positive diagnosis and treatment of highly suspected cases of joint infection after anterior cruciate ligament reconstruction can achieve good prognosis.

Key words: anterior cruciate ligament, anterior cruciate ligament reconstruction, high-sensitivity C-reactive protein, erythrocyte sedimentation rate, arthroscope

CLC Number:

Wang Changbing1, 2, Lu Mingfeng2, He Lilei2, Xing Jisi2, Xu Ting2, Zhao Lilian2, Liu Xiaofang1 . Diagnosis and treatment of early joint infection after anterior cruciate ligament reconstruction[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(35): 5592-5599.

Figures/Tables 4

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