Raúl Torres-Claramunt1,2, Pablo Gelber3, Xavier Pelfort4, Pedro Hinarejos5,6, Joan Leal-Blanquet5, Daniel Pérez-Prieto5, Joan C Monllau5,6. 1. Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain. rtorresclaramunt@parcdesalutmar.cat. 2. IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain. rtorresclaramunt@parcdesalutmar.cat. 3. Orthopaedic Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Sant Antoni Maria Claret 167, 08025, Barcelona, Spain. 4. Orthopaedic Department, Consorci Sanitari de l'Anoia, Avinguda Catalunya 11, 08700, Igualada, Barcelona, Spain. 5. Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain. 6. IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain.
Abstract
PURPOSE: Joint infection after anterior cruciate ligament (ACL) reconstruction is uncommon but has potentially serious consequences for the graft and articular cartilage. Most recently published series are in agreement that an urgent arthroscopic washout and antibiotic treatment are mandatory to preserve both graft and cartilage. However, several questions have not as yet been touched upon. METHODS: We performed a literature review to assess the most interesting series published about this issue. RESULTS: In this review, a management protocol is first presented that discusses the different diagnostic parameters to consider and surgical and antibiotic treatment suggested according to the literature. Outcomes published in different series are also discussed.
PURPOSE: Joint infection after anterior cruciate ligament (ACL) reconstruction is uncommon but has potentially serious consequences for the graft and articular cartilage. Most recently published series are in agreement that an urgent arthroscopic washout and antibiotic treatment are mandatory to preserve both graft and cartilage. However, several questions have not as yet been touched upon. METHODS: We performed a literature review to assess the most interesting series published about this issue. RESULTS: In this review, a management protocol is first presented that discusses the different diagnostic parameters to consider and surgical and antibiotic treatment suggested according to the literature. Outcomes published in different series are also discussed.
Authors: Robert T Burks; Matthew G Friederichs; Barbara Fink; Mark G Luker; Hugh S West; Patrick E Greis Journal: Am J Sports Med Date: 2003 May-Jun Impact factor: 6.202
Authors: V Franklin Sechriest; Joseph R Carney; Michael A Kuskowski; James L Haffner; Mollie J Mullen; Dana C Covey Journal: J Bone Joint Surg Am Date: 2013-05-01 Impact factor: 5.284
Authors: A Soriano; S García; G Bori; M Almela; X Gallart; F Macule; J Sierra; J A Martínez; S Suso; J Mensa Journal: Clin Microbiol Infect Date: 2006-09 Impact factor: 8.067
Authors: Arndt P Schulz; Sebastian Götze; Hergo G K Schmidt; Christian Jürgens; Maximilian Faschingbauer Journal: Am J Sports Med Date: 2007-03-30 Impact factor: 6.202
Authors: Rafael Calvo; David Figueroa; Zoy Anastasiadis; Alex Vaisman; Arturo Olid; Federico Gili; Juan José Valderrama; Paulina De La Fuente Journal: Knee Date: 2014-02-07 Impact factor: 2.199
Authors: R Torres-Claramunt; X Pelfort; J Erquicia; S Gil-González; P E Gelber; L Puig; J C Monllau Journal: Knee Surg Sports Traumatol Arthrosc Date: 2012-10-27 Impact factor: 4.342
Authors: Laurie M Katz; Todd C Battaglia; Paul Patino; William Reichmann; David J Hunter; John C Richmond Journal: Arthroscopy Date: 2008-09-13 Impact factor: 4.772
Authors: Daniel Pérez-Prieto; María E Portillo; Raúl Torres-Claramunt; Xavier Pelfort; Pedro Hinarejos; Joan C Monllau Journal: Knee Surg Sports Traumatol Arthrosc Date: 2017-10-07 Impact factor: 4.342
Authors: Samaneh Bourbour; Mohammad Emaneini; S M Javad Mortazavi; Mohamad Naghi Tahmasebi; Hooman Yahyazadeh; Mahmoud Jabalameli; Fereshteh Jabalameli Journal: Arch Bone Jt Surg Date: 2021-09
Authors: I Geethan; Raju Easwaran; Santhosh Sahanand; Arumugam Sivaraman; Arun Gupta; Ashish Devgan; S Ashok; V B Bhasin; Clement Joseph; Deepak Chaudhary; Dinshaw N Pardiwala; P Gopinathan; John Thayyil John; J Maheshwari; Manabendra Nath Basumallick; Nicholas Antao; Nishith Shah; Palanivel Rajan; Parag Sancheti; Paresh Chandra Dey; Prakash Ayyadurai; Prateek Kr Gupta; K Raghuveer Reddy; Ravi Gupta; Ravi Mittal; Sachin Tapasvi; Schiller Thekekara Jos; Skand Sinha; S R Sundararajan; Vinod Kumar; Vivek Pandey; David V Rajan Journal: Indian J Orthop Date: 2021-02-01 Impact factor: 1.251
Authors: Jesper Kraus Schmitz; Viktor Lindgren; Gunnar Edman; Per-Mats Janarv; Magnus Forssblad; Anders Stålman Journal: Am J Sports Med Date: 2021-03-25 Impact factor: 6.202