Vancomycin-Loaded Bone Cement Bullet for Treatment of Chronic Septic Arthritis Post ACL Reconstruction Surgery
- Author:
Soon Teck Seo, Seow Hui Teo, Mohamed Zubair Mohamed Al-Fayyadh, Mohamed Razif Mohamed Ali, Wuey Min Ng
1
Author Information
1. National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
ACL reconstruction complication;
antibiotic cement;
Chronic Infection post-ACL reconstruction;
Post-operative infection
- From:Malaysian Journal of Medicine and Health Sciences
2019;15(3):158-160
- CountryMalaysia
- Language:English
-
Abstract:
Abstract:The consequence of post-operative infection can be devastating despite its rare incidence. Common organisms causing post-operative infection are normal flora of the skin: Staphylococcus aureus and Staphylococcus epidermidis. Early diagnosis followed by arthroscopic debridement and antibiotic therapy with graft retention remains the main aim of treatment. However, there are certain cases where the infection persists despite early intervention. Vancomycin-loaded bone cement bullet inserted into bone tunnel can provide a high local concentration of vancomycin with bactericidal effect and low systemic complications to treat deep-seated infection.
- Full text:11.2018my0469.pdf