Septic Arthritis in Postoperative Anterior Cruciate Ligament Reconstruction
Septic Arthritis in Postoperative Anterior Cruciate Ligament Reconstruction
复制标题
前十字韧带重建术后的化脓性关节炎
DOI：
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发表时间：
2002
影响因子：
4.2
通讯作者：
D. Schurman
中科院分区：
文献类型：
--
作者：
P. Indelli;M. Dillingham;G. Fanton;D. Schurman
对3500例连续关节镜手术的术后感染前交叉韧带重建进行了回顾。目的是评估发病率、诊断、治疗和结局因素。发现6例术后关节内感染。平均随访3年（范围：2-8年）。感染率为0.14%。研究组包括5名男性和1名女性，中位年龄为32.5岁（范围：20-51岁）。从症状发作到初次关节镜干预的平均间隔时间为7.5天（范围，2-20天）。金黄色葡萄球菌存在于三个膝关节，表皮葡萄球菌在两个，链球菌非溶血性。所有患者均行关节镜下清创和灌洗，随后静脉注射抗生素6周。两个移植物被移除：一个病人延迟韧带重建，另一个全膝关节置换术。其余患者的活动范围完整。在结果最好的一组中，两名患者患有表皮葡萄球菌，一名患有金黄色葡萄球菌，在临床症状开始后2天进行治疗。另外两名感染金黄色葡萄球菌的患者结果不理想。前交叉韧带感染是罕见的，但诊断。早期采用适当的抗生素治疗和关节镜下清创术治疗时，6例移植物中有4例保留。如果感染对早期治疗没有迅速反应，那么移植物切除是一种选择。
A review of postoperative infected anterior cruciate ligament reconstructions was done on 3500 consecutive arthroscopic procedures. The purpose was to assess incidence, diagnosis, treatment, and outcome factors. Six postoperative intraarticular infections were detected. Average followup was 3 years (range, 2–8 years). The rate of infection was 0.14%. Five men and one woman with a median age of 32.5 years (range, 20–51 years) comprised the study group. The average interval from the onset of symptoms to the initial arthroscopic intervention was 7.5 days (range, 2–20 days). Staphylococcus aureus was present in three knees, Staphylococcus epidermidis in two, and Streptococcus nonhemolytic in one. All patients had initial arthroscopic debridement and lavage followed by 6 weeks of intravenous antibiotics. Two grafts were removed: one patient had delayed ligament reconstruction and the other had total knee arthroplasty. The remaining patients had full range of motion. In the group with the best result, two patients had Staphylococcus epidermidis and one had Staphylococcus aureus, which was treated 2 days after clinical symptoms began. The other two patients infected with Staphylococcus aureus had unsatisfactory results. Anterior cruciate ligament infection is rare, but diagnosable. When treated early with appropriate antibiotic therapy and arthroscopic debridement, four of six grafts were retained. If the infection does not respond rapidly to early therapy, then graft removal is an option.
抗生素对实验性感染性关节炎软骨破坏的影响。
DOI：
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发表时间：
1987
期刊：
The Journal of bone and joint surgery. American volume
影响因子：
--
作者：
Smith,RL;Schurman,DJ;Kajiyama,G;Mell,M;Gilkerson,E
通讯作者：
Gilkerson,E