2023ESSKAEBJIS建议：前交叉韧带重建术术后感染的预防手术治疗和康复治疗

Knee Surgery,Sports Traumatology,Arthroscopyhttp5/doi.org/10.1007/s00167-023-07463-3KNEEESSKA and EBJIS recommendations for the management of infectionsafter anterior cruciate ligament reconstruction (ACL-R):prevention,surgical treatment and rehabilitationDaniel Perez-Prieto1.2.Trifon Totlis340.Tomislav Madjarevics.Roland Becker5.Christen Ravn7.Juan C.Monllau2.Nora Renz8.9Received:2 February 2023/Accepted:17 May 2023©The Author(s)2023AbstractPurpose Infection after anterior cruciate ligament reconstruction (ACL-R)is a rare but severe complication.Despite anincrease in articles published on this topic over the last decade,solid data to optimized diagnostic and therapeutic measuresare scarce.For this reason,the European Bone and Joint Infection Society (EBJIS)and the European Society for SportsTraumatology,Knee Surgery and Arthroscopy (ESSKA)collaborated in order to develop recommendations for the diagnosisand management of infections after ACL-R.The aim of the workgroup was to perform a review of the literature and providepractical guidance to healthcare professionals involved in the management of infections after ACL-R.Methods An international workgroup was recruited to provide recommendations for predefined clinical dilemmas regardingthe management of infections after ACL-R.MEDLINE,EMBASE,Cochrane Library and Scopus databases were searchedfor evidence to support the recommended answers to each dilemma.Results The recommendations were divided into two articles.The first covers etiology,prevention,diagnosis and antimi-crobial treatment of septic arthritis following ACL-R and is primarily aimed at infectious disease specialists.This articleincludes the second part of the recommendations and covers prevention of infections after ACL-R,surgical treatment ofseptic arthritis following ACL-R and subsequent postoperative rehabilitation.It is aimed not only at orthopedic surgeons,but at all healthcare professionals dealing with patients suffering from infections after ACL-R.Conclusion These recommendations guide clinicians in achieving timely and accurate diagnosis as well as providing opti-mal management,both of which are paramount to prevent loss of function and other devastating sequelae of infection in theknee joint.Level of evidence V.Keywords Infection after anterior cruciate ligament reconstruction.Prevention.Management.Arthroscopy.Debridement.Reoperation☒Trifon Totlis6Centre of Orthopaedics and Traumatology,Universitytotlis @auth.grof Branden burg Theodor Fontane,Brandenburg,GermanyDepartment of Traumatology and Orthopaedic Surgery.Department of Orthopaedic Surgery and Traumatology,Hospital del Mar.Barcelona.SpainAarhus University Hospital,Aarhus,Denmark8IcatKNEE.Hospital Universitari Dexeus-UniversitatCenter for Musculoskeletal Surgery (CMSC).ChariteUniversitiitsmedizin Berlin,corporate member of FreieAutonoma de Barcelona (UAB).Barcelona.SpainUniversitat Berlin,Humboldt-Universitat zu Berlin,Thessaloniki Minimally Invasive Surgery (The-MIS)and B