Analysis of infectious complications after knee arthroscopic surgeries

Abstract

INTRODUCTION Arthroscopic knee surgeries are the most usually performed operations by orthopedic surgeons, still not much is known about the correlation between theese operations and infectious complication rates. Septic joint complications occures after fewer than 1% of all arthroscopic procedures [1]. Clinical signs of infection can be indistinguishable from symptoms that occure after uncomplicated arthroscopy. This is when orthopedic surgeons come across diagnostic errors [2]. Septic arthritis can be caused by variety of microorganisms, but most common encountered ones are gram-positive cocci [3; 5]. Attention for infectious complications after arthroscopy is growing, with extreme focus on its diagnostics and management, by increasing our knowledge we will be able to successfully treat infectious complications by improving patient outcomes and reducing treatment costs [4]. AIM Evaluate infectious complication rate and treatment methods after arthroscopic knee surgeries in hospital of LSMU 2014 - 2017. METHODS This is a retrospective research of case-histories of individuals that were treated in the hospital of LSMU, department of orthopedics and traumatology from 2014 to 2017. The study includes patients that have been diagnosed with secondary septic knee arthritis after arthroscopic surgery. Patient database was used to search for clinically relevant cases. Time period searched 2014 – 2017. Criteria – diagnosis at admission or discharge (secondary septic arthritis that occurred after arthroscopic knee surgery. In total there were 4923 knee arthroscopies made. 26 patients were selected, case histories were analyzed (clinical signs, CRP, WBC, microbiological culture results, treatment). 7 cases were excluded because patients had post traumatic complications after arthroscopic knee surgeries. In total only 19 cases were included in the research. Infection was classified as acute if it occurred up to 4 weeks after surgery, and chronic – [...].