Rheumatology Medical News about ACL reconstruction

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Septic knee arthritis following ACL reconstruction: A systematic review
Knee Surgery, Sports Traumatology, Arthroscopy, 04/27/09

Mouzopoulos G et al. – Review discusses the pathogenesis, risk factors, clinical presentation, diagnostic evaluation, treatment protocols and complications of septic knee arthritis after ACL reconstruction. Points of discussion are:

Pathogenesis of septic knee arthritis following ACL reconstruction
Risk factors related to septic knee arthritis after ACL reconstruction
Clinical presentation - an acutely swollen, painful joint with limited range of motion
Diagnostic evaluation - aspirate was reported to be the preferred diagnostic test to detect infection
Goal of treatment for septic arthritis after anterior cruciate ligament reconstruction are: first to protect the articular cartilage and second, to protect the graft
Basic principles of treatment protocol with graft retention are presented
Complications - complications after septic knee arthritis are:
- postinfectious residual stiffness and arthrofibrosis or
- articular cartilage degeneration and osteomyelitis
- and finally, graft failure or rupture