16 Monate nach auswärtiger vorderer Kreuzbandersatzplastik stellte sich ein 26-jähriger Patient wegen persistierender Schmerzen und Bewegungseinschränkung trotz Physiotherapie vor. Bei der Untersuchung, u. a. mit einer Magnetresonanztomografie, zeigte sich eine ausgedehnte Chondrolyse mit rapidem Progress. Wie war es dazu gekommen?
Literatur
Indelli PF, Dillingham M, Fanton G, Schurman DJ: Septic arthritis in postoperative anterior cruciate ligament reconstruction. Clinical orthopaedics and related research 2002(398):182–188.
Gille J, Gerlach U, Oheim R, Hintze T, Himpe B, Schultz AP: Functional outcome of septic arthritis after anterior cruciate ligament surgery. International orthopaedics 2014, Nov 25, [Epub ahead of print]
Saper M, Stephenson K, Heisey M: Arthroscopic irrigation and debridement in the treatment of septic arthritis after anterior cruciate ligament reconstruction. Arthroscopy 2014, 30(6):747–754.
Sonnery-Cottet B, Thaunat M, Archbold P, Issartel B, Cadet ER: Management of septic arthritis following anterior cruciate ligament reconstruction: a review of current practices and recommendations. The Journal of the American Academy of Orthopaedic Surgeons 2014, 22(5):271–273.
Rohner E, Kolar P, Seeger JB, Arnholdt J, Thiele K, Perka C, Matziolis G: Toxicity of antiseptics against chondrocytes: what is best for the cartilage in septic joint surgery? International orthopaedics 2011, 35(11):1719–1723.
Douw CM, Bulstra SK, Vandenbroucke J, Geesink RG, Vermeulen A: Clinical and pathological changes in the knee after accidental chlorhexidine irrigation during arthroscopy. Case reports and review of the literature. The Journal of bone and joint surgery British volume 1998, 80(3):437–440.
Schaumburger J, Beckmann J, Springorum HR, Handel M, Anders S, Kalteis T, Grifka J, Rath B: [Toxicity of antiseptics on chondrocytes in vitro]. Zeitschrift fur Orthopadie und Unfallchirurgie 2010, 148(1):39–43.
Bostrom Windhamre H, Mikkelsen C, Forssblad M, Willberg L: Postoperative septic arthritis after anterior cruciate ligament reconstruction: does it affect the outcome? A retrospective controlled study. Arthroscopy 2014, 30(9):1100–1109.
Schulz AP, Gotze S, Schmidt HG, Jurgens C, Faschingbauer M: Septic arthritis of the knee after anterior cruciate ligament surgery: a stage-adapted treatment regimen. The American journal of sports medicine 2007, 35(7):1064–1069.
Kim SJ, Postigo R, Koo S, Kim JH: Infection after arthroscopic anterior cruciate ligament reconstruction. Orthopedics 2014, 37(7):477–484.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Schneider, M.M., Preiss, S., Harder, L.P. et al. Spülung mit Antiseptikum schädigte den Gelenkknorpel. MMW - Fortschritte der Medizin 157, 47–49 (2015). https://doi.org/10.1007/s15006-015-3033-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15006-015-3033-2