ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Post-operative septic arthritis after arthroscopy: modern diagnostic and therapeutic concepts.
Review in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- A meta-analysis of the therapeutic effect of total knee replacement after knee arthroscopic surgery.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Pooled it
- Optimal Timing of Anterior Cruciate Ligament Reconstruction in Patients With Anterior Cruciate Ligament Tear: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- Musculoskeletal infections in sports: imaging approach, sport-specific risk factors, and diagnostic pitfalls.Skeletal radiology · 2026Review
- Graphical Representation of Cell Count in Native Joint Aspirates.Diagnostics (Basel, Switzerland) · 2026Article
- Wrist Arthroscopy in South Korea: Utilization, Disparities, and Complications from an 11-Year Nationwide Cohort.Clinics in orthopedic surgery · 2026Article
- [Septic Arthritis of the Glenohumeral Joint: Treatment Options and Outcomes Achieved in Our Study Population].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2025Article
- One-Stage Primary Total Knee Arthroplasty as the Treatment of Acute Septic Arthritis of the Native Osteoarthritic Knee: Report of 3 Cases and Review of Literature.Arthroplasty today · 2025Article
- Septic Arthritis After Anterior Cruciate Ligament Reconstruction: A Comparative Study of Pediatric, Adolescent, and Young Adult Populations.Orthopaedic journal of sports medicine · 2025Article
- A comparison of arthroscopy combined with continuous irrigation, arthroscopic debridement alone, and open arthrotomy for the treatment of septic arthritis of the native knee.BMC musculoskeletal disorders · 2025Article
- Comparative Outcomes of Arthroscopic versus Open Surgical Approaches in the Management of Septic Arthritis of the Knee: A Retrospective Study.Journal of orthopaedic case reports · 2025Article
- Survival and risk factor analysis in patients with septic arthritis: a retrospective study of 192 cases.BMC infectious diseases · 2025Article
- "Bankart Repair and Beyond. Anticipating difficulties and managing complications. Current concepts".Journal of clinical orthopaedics and trauma · 2025Article
- Regenerative potential of nanoenabled collagen-polylactide scaffolds for osteochondral defect repair in rabbits.Frontiers in bioengineering and biotechnology · 2025Article
- The Utilization of Ultrasound-Guided Regional Nerve Blocks in Anesthetic Management for Fracture Surgery.Journal of pain research · 2025Review
- Native and prosthetic septic arthritis in a university hospital in Saudi Arabia: A retrospective study.World journal of orthopedics · 2024Article
- Epidemiology and Treatment of Surgical Infection after Ankle Arthroscopy: A Systematic Review.Journal of clinical medicine · 2024Review
- [Acute postoperative infections after dual head arthroplasty in geriatric patients].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Review
- Atypical Staphylococcal Septic Arthritis in a Native Hip: A Case Report and Review.Pathogens (Basel, Switzerland) · 2023Article
- [The role of arthroscopy in diagnostics and treatment of arthritis of the ankle joint].Der Unfallchirurg · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeptic arthritis is a significant complication following arthroscopic surgery, with an estimated overall incidence of less than 1%. Despite the low incidence, an appropriate diagnostic and therapeutic pathway is required to avoid serious long-term consequences, eradicate the infection, and ensure good treatment outcomes. The aim of this current review article is to summarize evidence-based literature regarding diagnostic and therapeutic options of post-operative septic arthritis after arthroscopy.
methodsThrough a literature review, up-to-date treatment algorithms and therapies have been identified. Additionally, a supportive new algorithm is proposed for diagnosis and treatment of suspected septic arthritis following arthroscopic intervention.
resultsA major challenge in diagnostics is the differentiation of the post-operative status between a non-infected hyperinflammatory joint versus septic arthritis, due to clinical symptoms, (e.g., rubor, calor, or tumor) can appear identical. Therefore, joint puncture for microbiological evaluation, especially for fast leukocyte cell-count diagnostics, is advocated. A cell count of more than 20.000 leukocyte/µl with more than 70% of polymorphonuclear cells is the generally accepted threshold for septic arthritis.
conclusionThe therapy is based on arthroscopic or open surgical debridement for synovectomy and irrigation of the joint, in combination with an adequate antibiotic therapy for 6-12 weeks. Removal of indwelling hardware, such as interference screws for ACL repair or anchors for rotator cuff repair, is recommended in chronic cases. LEVEL OF EVIDENCE: IV.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.