Suction Irrigation Technique in Management of Infection after ACL Reconstruction
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- Category: Vol. 85, March 2017
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Suction Irrigation Technique in Management of Infection after ACL Reconstruction, EBEED YASIN, AHMED DARWEASH and HOSAM EL-DIN AMIN
Abstract
Background: Anterior cruciate ligament (ACL) rupture is the most frequent ligamentous injury of the knee. It is frequently injured in the young athletes performing cutting and pivoting sports, and predisposes the knee to subsequent injuries, as well as the potential for earlier onset of osteoar-thritis. Arthroscopic ACL reconstruction is a common and effective method of restoring stability to the knee after injury. Overall, infection rates are low after ACL reconstruction. Different methods were used to manage the knee sepsis including open and arthroscopic debridement and lavage.
Objective: Evaluation of the suction irrigation technique in eradication of infection after ACL reconstruction.
Patients and Methods: This study involved a retrospective review of 13 male patients with infection after ACL recon-struction. All patients were subjected to arthroscopic debride-ment and lavage. In 9 patients (group A), suction and irrigation were added in the internal ward for 1-4 days (average 3 days). The results were compared to those managed without suction irrigation (group B), regarding time used for eradication of infection, final knee range of motion (ROM), pain, and swelling.
Results: Group A patients showed rapid regression of symptoms and signs rather than group B, but with relatively longer hospital stay.
Conclusion: Suction irrigation technique is an effective method for eradication of infection after ACL reconstruction, however it showed minimal significant superiority over arthroscopic debridement alone.