关节镜下前交叉韧带重建术后早期感染三例_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

张大海 ,  李欢

常州市第一人民医院骨关节科（江苏常州 213000）;

Corresponding author：

李欢, Email: lihuan1317@sina.com

Keywords：

关节镜; 前交叉韧带; 韧带重建术; 术后感染; 并发症

DOI：

10.7507/1002-1892.201708031

Video：

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目的报道 3 例关节镜下前交叉韧带重建术后早期感染患者临床资料，总结治疗方法及疗效，分析预防措施。方法 2015 年 3 月—2017 年 3 月，关节镜下前交叉韧带重建术后 3 例发生早期感染。其中男 2 例，女 1 例；年龄 30、39、32 岁。术后 7 d 出现膝关节疼痛伴低热症状，均存在关节腔积液，其中 1 例积液细菌培养呈阳性；白细胞计数及中性粒细胞计数在正常范围，超敏 C-反应蛋白及红细胞沉降率升高。2 例给予万古霉素、1 例给予关节镜下关节腔清理术后治愈。结果 3 例患者经抗感染治疗后，临床症状及体征均消失，感染治愈；白细胞计数及中性粒细胞计数、超敏 C-反应蛋白、红细胞沉降率均在正常范围。术后 90 d 膝关节 Lysholm 评分为 89、88、80 分。结论关节镜下前交叉韧带重建术后早期感染的发生可能与手术时间延长及关节腔积液有关，经长期口服利福平抗感染治疗后可获较好临床疗效。

Citation： 张大海, 李欢. 关节镜下前交叉韧带重建术后早期感染三例. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(2): 252-253. doi: 10.7507/1002-1892.201708031 Copy

1.	刘玉杰. 关注前交叉韧带重建术后影响疗效的因素与对策. 中国骨伤, 2012, 25(11): 883-885.
2.	Wang C, Lee YH, Siebold R. Recommendations for the management of septic arthritis after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2014, 22(9): 2136-2144.
3.	GobbiA, KarnatzikosG, ChaurasiaS, et al. Postoperative infection after anteriorcuciate ligament reconstnlction. Sports Health, 2016, 8(2): 187-189.
4.	Schollin-Borg M, Michaëlsson K, Rahme H. Presentation, outcome, and cause of septic arthritis after anterior cruciateligament reconstruction: a case control study. Arthroscopy, 2003, 19(9): 941-947.
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1. 刘玉杰. 关注前交叉韧带重建术后影响疗效的因素与对策. 中国骨伤, 2012, 25(11): 883-885.
2. Wang C, Lee YH, Siebold R. Recommendations for the management of septic arthritis after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2014, 22(9): 2136-2144.
3. GobbiA, KarnatzikosG, ChaurasiaS, et al. Postoperative infection after anteriorcuciate ligament reconstnlction. Sports Health, 2016, 8(2): 187-189.
4. Schollin-Borg M, Michaëlsson K, Rahme H. Presentation, outcome, and cause of septic arthritis after anterior cruciateligament reconstruction: a case control study. Arthroscopy, 2003, 19(9): 941-947.
5. Wang C, AoY, Fan X, et al. C-reactive protein and erythrocyte sedimentation rate changes after arthroscopic anterior cruciate ligament reconstruction: guideline to diagnose and monitor postoperative infection. Arthroscopy, 2014, 30(9): 1110-1115.
6. YazdiH, MoradiA, HerbortM. The effect of gentamicin in irrigating solutions on articular infection prophylaxis during arthroscopic ACL reconstruction. Arch Orthop Trauma Surg, 2014, 134(2): 257-261.

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