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前交叉韧带重建术后感染性膝关节炎:一项系统评价

Septic knee arthritis following ACL reconstruction: a systematic review.

作者信息

Mouzopoulos George, Fotopoulos Vasilios C, Tzurbakis Mathaios

机构信息

1st Orthopaedic Department, Evangelismos Hospital, Sof. Venizelou 23, Peristeri Attikis, 12131, Athens, Greece.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2009 Sep;17(9):1033-42. doi: 10.1007/s00167-009-0793-1. Epub 2009 Apr 18.

Abstract

Although postoperative septic arthritis is rare after ACL reconstruction, it carries a high morbidity that results in poor clinical outcome. Despite low incidence, it is important to recognize that infection and treat it without delay because of devastating consequences, such as loss of hyaline cartilage and arthrofibrosis, in order to avoid osteoarthritis development and near full range of motion achieved. Herein we discuss the pathogenesis, risk factors, clinical presentation, diagnostic evaluation, treatment protocols and complications of septic knee arthritis after ACL reconstruction.

摘要

尽管前交叉韧带重建术后感染性关节炎很少见,但它具有很高的发病率,会导致不良的临床结果。尽管发病率低,但认识到感染并及时治疗很重要,因为其会带来诸如透明软骨丧失和关节纤维化等严重后果,以避免骨关节炎的发展并实现接近正常的活动范围。在此,我们讨论前交叉韧带重建术后感染性膝关节炎的发病机制、危险因素、临床表现、诊断评估、治疗方案及并发症。

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