Evidence map›Paper›PMID 29556890›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Septic arthritis after arthroscopic posterior cruciate ligament and multi-ligament reconstructions is rare and can be successfully treated with arthroscopic irrigation and debridement: analysis of 866 reconstructions.

Philipp Schuster, Markus Geßlein, Philipp Mayer, Michael Schlumberger, Raul Mayr, Jörg Richter

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Philipp SchusterCentre for Arthroscopy and Sports Medicine, Orthopedic Hospital Markgröningen, Kurt-Lindemann-Weg 10, 71706, Markgröningen, Germany. philipp_schuster@gmx.de.
Markus GeßleinDepartment of Orthopedics and Traumatology, Paracelsus Medical University, Clinic Nuremberg, Breslauer Str. 201, 90471, Nuernberg, Germany.
Philipp MayerCentre for Arthroscopy and Sports Medicine, Orthopedic Hospital Markgröningen, Kurt-Lindemann-Weg 10, 71706, Markgröningen, Germany.
Michael SchlumbergerCentre for Arthroscopy and Sports Medicine, Orthopedic Hospital Markgröningen, Kurt-Lindemann-Weg 10, 71706, Markgröningen, Germany.
Raul MayrCentre for Arthroscopy and Sports Medicine, Orthopedic Hospital Markgröningen, Kurt-Lindemann-Weg 10, 71706, Markgröningen, Germany.
Jörg RichterCentre for Arthroscopy and Sports Medicine, Orthopedic Hospital Markgröningen, Kurt-Lindemann-Weg 10, 71706, Markgröningen, Germany.
St. Mark's Hospital · USParacelsus Medizinische Privatuniversität · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to determine the incidence of septic arthritis following arthroscopic posterior cruciate ligament (PCL) and multi-ligament reconstructions, and to evaluate a treatment regime with sequential arthroscopic irrigation and debridement procedures combined with antibiotic therapy that is focused on retention of the graft.

methodsBetween 2004 and 2016 a total of 866 PCL reconstructions and multi-ligament reconstructions were performed at our institution (408 isolated PCL reconstructions, 458 combined reconstructions). Medical charts of all cases were retrospectively reviewed with regard to the occurrence of septic complications. These cases were analysed with special focus on clinical management, number of reoperations and if the grafts were retained. Further, microbiological findings, postoperative clinical course and available clinical outcome data were evaluated.

resultsFour cases of septic arthritis (0.5%) were identified (follow-up rate 96.5%): two following isolated PCL reconstruction (0.5%), and two following multi-ligament reconstruction (0.4%), respectively. Septic arthritis was successfully treated in all cases with a mean of 2.5 ± 2.4 irrigation and debridement procedures (1-6). In one case of isolated PCL reconstruction, the graft was resected within the fifth irrigation and debridement due to septic loosing of the femoral fixation. All other grafts were retained. With regard to the outcome, all patients were subjectively satisfied with good stability (stress radiographs) in cases of retained grafts.

conclusionPostoperative septic arthritis after arthroscopic PCL and complex knee ligament reconstructions is a rare but serious complication. Arthroscopic graft-retaining treatment is recommended, as it is established in ACL surgery. Graft retention can be expected in the majority of the cases. LEVEL OF EVIDENCE: Case series, Level 4.

Indexed as

DebridementTherapeutic IrrigationAdolescentAdultAgedArthritis, InfectiousArthroscopyChildFemaleHumansLigaments, ArticularMaleMiddle AgedPosterior Cruciate LigamentPostoperative ComplicationsRetrospective StudiesArthroscopyBacteriaClinical studyComplicationInfectionIrrigationMulti ligamentPosterior cruciate ligamentReconstructionSeptic arthritis

Identifiers

PMID29556890
OpenAlexW2789500388

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.