ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Bacterial contamination of irrigation fluid and suture material during ACL reconstruction and meniscus surgery : Low infection rate despite increasing contamination over surgery time.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 9 citations in OpenAlex.
- Infection Following ACL Reconstruction: From Prevention to Treatment.The archives of bone and joint surgery · 2026Review
- No significant difference in skin contamination during anterior cruciate ligament reconstruction with and without preoperative skin cleaning.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Public perceptions of meniscus tears: Evaluating knowledge gaps and the role of education.Journal of clinical orthopaedics and trauma · 2025Article
- Standardized treatment of infection after anterior cruciate ligament reconstruction.Scientific reports · 2024Article
- Risk of bacterial colonization by torniquet during arthroscopy of the knee joint.GMS hygiene and infection control · 2024Article
- Arthroscopy in India Through the Medicolegal Lens: A Comprehensive Review.Indian journal of orthopaedics · 2023Review
- ESSKA and EBJIS recommendations for the management of infections after anterior cruciate ligament reconstruction (ACL-R): prevention, surgical treatment and rehabilitation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- No difference in bacterial contamination of hip capsule sutures and control sutures in hip arthroplasty surgery.Antimicrobial resistance and infection control · 2023Article
- Allograft contamination during suture preparation for anterior cruciate ligament reconstruction: an ex vivo study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDuring knee arthroscopy, irrigation fluid from the surgical site accumulates in the sterile reservoir. Whether these fluid collections and also suture material used during the arthroscopic surgical processes show bacterial contamination over time during surgery remains unclear. The purpose of this study was to determine this contamination rate and to analyze its possible influence on postoperative infection. MATERIALS AND
methodsIn this study, 155 patients were included. Fifty-eight underwent reconstruction of the anterior cruciate ligament (ACL), 63 meniscal surgery and 34 patients combined ACL reconstruction and meniscus repair. We collected pooled samples of irrigation fluid from the reservoir on the sterile drape every 15 min during the surgery. In addition, we evaluated suture material of ACL graft and meniscus repair for bacterial contamination. Samples were sent for microbiological analysis, incubation time was 14 days. All patients were seen in the outpatient department 6, 12 weeks and 12 months postoperatively and examined for clinical signs of infection.
resultsA strong statistical correlation (R
conclusionSince bacterial contamination of accumulated fluid increases over time the contact with the fluid reservoirs should be avoided. LEVEL OF EVIDENCE: IV.
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