关节镜下前交叉韧带重建术后膝关节感染的诊断和治疗

Diagnosis and treatment of knee infection after arthroscopic anterior cruciate ligament reconstruction

目的探讨膝关节镜下前交叉韧带(ACL)重建术后膝关节感染的诊断和治疗方法。方法收集2015年1月-2019年12月6例行关节镜ACL重建术后膝关节感染患者的临床资料。其中,4例采用抗感染药物治保守疗,2例经二次膝关节镜关节腔清理术治疗。结果所有患者均得到治愈,体温恢复正常,膝关节局部症状消失,血液学指标恢复正常。所有患者随访6~14个月,平均10个月。膝关节Lysholm评分和膝关节IKDC 2000主观功能评分显示,患者膝关节功能恢复良好。结论膝关节ACL术后感染的患者需要尽早明确诊断,根据患者的病史、血检结果和影像学资料进行个性化治疗。

Objective To investigate the diagnosis and treatment of knee joint infection after anterior cruciate ligament(ACL)reconstruction under arthroscope.Methods Clinical data of 6 patients with knee infection after arthroscopic ACL reconstruction were collected from January 2015 to December 2019.Among them,4 patients were treated with anti infective drugs,and 2 patients were treated with secondary arthroscopic debridement.Results All the patients were cured,the temperature returned to normal,the local symptoms of knee joint disappeared,and the hematological indexes returned to normal.All the patients were followed up from 6 months to 14 months with an average of 10 months.The evaluation criteria were Lysholm score of knee joint and IKDC 2000 subjective function score of knee joint suggested that the patient's knee joint function recovered well.Conclusion Patients with postoperative infection of ACL of knee need to be diagnosed as early as possible.According to the patient's history,blood test results and imaging data,we should treat them specifically and make personalized treatment options.