Management algorithm for septic arthritis after anterior cruciate ligament reconstruction

• Published in: Beijing da xue xue bao. Journal of Peking University. Yi xue ban Vol. 53; no. 5; pp. 850 - 856
• Main Authors: Wang, C, Meng, L Y, Chen, N Y, Li, D, Wang, J Q, Ao, Y F
• Format: Journal Article
• Language: Chinese
• Published: China 18-10-2021
• Subjects: Algorithms; Anterior Cruciate Ligament Injuries; Anterior Cruciate Ligament Reconstruction; Arthritis, Infectious - diagnosis; Arthritis, Infectious - etiology; Arthroscopy; Humans; Knee Joint - surgery; Methicillin-Resistant Staphylococcus aureus; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Retrospective Studies; Reconstruction; Complication; Management algorithm; Anterior cruciate ligament; Septic arthritis
• ISSN: 1671-167X

To summarize the experience in the diagnosis and management of septic arthritis after anterior cruciate ligament reconstruction.
A retrospective review was conducted of all the arthroscopic anterior cruciate ligament reconstructions performed at Department of Sports Medicine, Peking University Third Hospital between January 2001 and December 2020. In the study, 65 of 27 867 patients experienced postoperative septic arthritis. The incidence, presentation, laboratory results, treatment, and outcome of all the infected patients were analyzed. The experiences of diagnosis and management of septic arthritis after anterior cruciate ligament reconstruction were summarized.
A total of 27 867 anterior cruciate ligament reconstructions were performed at our department between January 2001 and December 2020. In the study, 65 (0.23%) patients were identified with postoperative septic arthritis. The most common symptoms of the infected patients were fever (38.7±0.5) ℃, knee swelling, pain, and restricted motion. The mean