Devastating femoral osteomyelitis after anterior cruciate ligament reconstruction

M Frank; U Schmucker; S David; G Matthes; A Ekkernkamp; J Seifert

doi:10.1007/s00167-007-0424-7

Devastating femoral osteomyelitis after anterior cruciate ligament reconstruction

Knee Surg Sports Traumatol Arthrosc. 2008 Jan;16(1):71-4. doi: 10.1007/s00167-007-0424-7. Epub 2007 Oct 9.

Authors

M Frank¹, U Schmucker, S David, G Matthes, A Ekkernkamp, J Seifert

Affiliation

¹ Department of Trauma and Orthopedic Surgery, Center for Clinical Research, Unfallkrankenhaus, Berlin, Germany. matthias.frank@uni-greifswald.de

PMID: 17924094
DOI: 10.1007/s00167-007-0424-7

Abstract

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.

Publication types

Case Reports

MeSH terms

Adult
Anterior Cruciate Ligament / surgery*
Anterior Cruciate Ligament Injuries
Anti-Infective Agents / therapeutic use
Arthritis, Infectious / etiology
Arthritis, Infectious / therapy
Bone-Patellar Tendon-Bone Grafting / adverse effects*
Ciprofloxacin / therapeutic use
Clindamycin / therapeutic use
Debridement
Female
Femur / physiopathology*
Humans
Knee Prosthesis*
Limb Salvage
Osteomyelitis / etiology*
Osteomyelitis / therapy*
Reoperation
Surgical Wound Infection*

Substances

Anti-Infective Agents
Clindamycin
Ciprofloxacin