前交叉韧带重建术后感染。
Infections in anterior cruciate ligament reconstruction.
机构信息
Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania.
出版信息
Sports Health. 2013 Nov;5(6):553-7. doi: 10.1177/1941738113489099.
Abstract
CONTEXT
Anterior cruciate ligament (ACL) reconstruction is a safe, common, and effective method of restoring stability to the knee after injury, but evolving techniques of reconstruction carry inherent risk. Infection after ACL reconstruction, while rare, carries a high morbidity, potentially resulting in a poor clinical outcome.
EVIDENCE ACQUISITION
Data were obtained from previously published peer-reviewed literature through a search of the entire PubMed database (up to December 2012) as well as from textbook chapters.
RESULTS
Treatment with culture-specific antibiotics and debridement with graft retention is recommended as initial treatment, but with persistent infection, consideration should be given to graft removal. Graft type likely has no effect on infection rates.
CONCLUSION
The early diagnosis of infection and appropriate treatment are necessary to avoid the complications of articular cartilage damage and arthrofibrosis.
摘要
背景
前交叉韧带（ACL）重建是一种安全、常见且有效的方法，可在受伤后恢复膝关节的稳定性，但重建技术的不断发展存在固有风险。ACL 重建后感染虽然罕见，但发病率很高，可能导致不良的临床结果。
证据获取
通过对整个 PubMed 数据库（截至 2012 年 12 月）以及教科书章节中先前发表的同行评议文献进行检索，获得了数据。
结果
建议最初采用针对特定培养物的抗生素治疗和保留移植物的清创术，但如果持续感染，应考虑移除移植物。移植物类型似乎对感染率没有影响。
结论
早期诊断感染并进行适当治疗对于避免关节软骨损伤和关节纤维化等并发症是必要的。
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