J Korean Orthop Assoc.  2017 Feb;52(1):97-102. 10.4055/jkoa.2017.52.1.97.

Septic Arthritis after Arthroscopic Meniscal Repair

• Jeon HS
• Woo YK
• Hwang SH
• Suh SP
• Jeong HW

• KMID: 2369577
• DOI: http://doi.org/10.4055/jkoa.2017.52.1.97

Abstract

The incidence of septic arthritis after knee arthroscopy surgery has rarely been reported in approximately 0.04% to 3.4%. Moreover, septic arthritis after arthroscopic meniscal repair is more rare. There have been some reported cases, but in Korea, it has not been reported thus far. Herein, we report two cases of septic arthritis after arthroscopic meniscal repair with review of literature.

Keyword

arthroscopy; meniscus; repair; infectious arthritis

MeSH Terms

Arthritis, Infectious*
Arthroscopy
Incidence
Knee
Korea

Figure

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  Figure 1 Intraoperative photograph shows repaired medial meniscus.

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  Figure 2 Osteolytic change of medial femoral condyle of the right knee joint was obserbed (arrow).

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  Figure 3 One month later, radiography showed recovery of the cortex of medial femoral condyle which had osteolytic change.

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  Figure 4 Intraoperative photograph shows repaired medial meniscus.

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  Figure 5 Radiologic studies demonstrating postoperative infection. (A) Radiography shows osteolytic change of the medial femoral condyle. (B) Bone scan shows hot uptake in media femoral condyle. (C) High signal intensity (arrow) on T2 weighted fat suppression coronal magnetic resonance imaging suggesting acute infectious bone destruction. ANT, anterior; POST, posterior.

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  Figure 6 Four months later, radiograph (A) and magnetic resonance imaging (B) show healing of medial femoral condyle previously showed osteolysis.

Reference

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