Devastating femoral osteomyelitis after anterior cruciate ligament reconstruction.
Osteomyelitis following arthroscopic assisted anterior cruciate ligament (ACL) reconstruction has not been reported in literature. We describe an aggressive progression of septic arthritis and osteomyelitis leading to the complete destruction of the condylar region in a young non-immunosuppressed patient after reconstruction of the ACL. In addition we discuss the steps in diagnostics and our salvage procedures.
Frank
M
M
Department of Trauma and Orthopedic Surgery, Center for Clinical Research, Unfallkrankenhaus, Berlin, Germany. matthias.frank@uni-greifswald.de
Schmucker
U
U
David
S
S
Matthes
G
G
Ekkernkamp
A
A
Seifert
J
J
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000209:etiology / Q000628:therapy; D050376:Bone-Patellar Tendon-Bone Grafting / Q000009:adverse effects*; D002939:Ciprofloxacin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003646:Debridement; D005260:Female; D005269:Femur / Q000503:physiopathology*; D006801:Humans; D007720:Knee Prosthesis; D023821:Limb Salvage; D010019:Osteomyelitis / Q000209:etiology* / Q000628:therapy*; D012086:Reoperation; D013530:Surgical Wound Infection
D000890:Anti-Infective Agents; D002981:Clindamycin; D002939:Ciprofloxacin