title: Managing septic arthritis after knee ligament reconstruction.
abstract: OBJECTIVE
  Joint infection after anterior cruciate ligament (ACL) reconstruction is uncommon but has potentially serious consequences for the graft and articular cartilage. Most recently published series are in agreement that an urgent arthroscopic washout and antibiotic treatment are mandatory to preserve both graft and cartilage. However, several questions have not as yet been touched upon.
  
  
  METHODS
  We performed a literature review to assess the most interesting series published about this issue.
  
  
  RESULTS
  In this review, a management protocol is first presented that discusses the different diagnostic parameters to consider and surgical and antibiotic treatment suggested according to the literature. Outcomes published in different series are also discussed.
authors.affiliation: Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain. rtorresclaramunt@parcdesalutmar.cat.|IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain. rtorresclaramunt@parcdesalutmar.cat.
authors.forename: Raúl
authors.initials: R
authors.lastname: Torres-Claramunt
authors.affiliation: Orthopaedic Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Sant Antoni Maria Claret 167, 08025, Barcelona, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Gelber
authors.affiliation: Orthopaedic Department, Consorci Sanitari de l'Anoia, Avinguda Catalunya 11, 08700, Igualada, Barcelona, Spain.
authors.forename: Xavier
authors.initials: X
authors.lastname: Pelfort
authors.affiliation: Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.|IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain.
authors.forename: Pedro
authors.initials: P
authors.lastname: Hinarejos
authors.affiliation: Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.
authors.forename: Joan
authors.initials: J
authors.lastname: Leal-Blanquet
authors.affiliation: Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Pérez-Prieto
authors.affiliation: Orthopaedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.|IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain.
authors.forename: Joan C
authors.initials: JC
authors.lastname: Monllau
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001182:Arthroscopy; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D011183:Postoperative Complications
chemical_list: D000900:Anti-Bacterial Agents
keywords: ACL; Anterior cruciate ligament; Antibiotic; Debridement; Infection; Joint infection; Knee; Septic arthritis