Septic Arthritis after Arthroscopic Meniscal Repair

Ho Seung Jeon; Young Kyun Woo; Seok Ha Hwang; Seung Pyo Suh; Ho Wong Jeong

doi:10.4055/jkoa.2017.52.1.97

Journal List > J Korean Orthop Assoc > v.52(1) > 1013575

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Jeon, Woo, Hwang, Suh, and Jeong: Septic Arthritis after Arthroscopic Meniscal Repair

Case Report

Journal of the Korean Orthopaedic Association 2017; 52(1): 97-102.

Published online: 16 February 2017

DOI: https://doi.org/10.4055/jkoa.2017.52.1.97

Septic Arthritis after Arthroscopic Meniscal Repair

Ho Seung Jeon, M.D., Young Kyun Woo, M.D., Seok Ha Hwang, M.D., Seung Pyo Suh, M.D., Ho Wong Jeong, M.D.

Department of Orthopedic Surgery, Sung-Ae Hospital, Seoul, Korea.

Correspondence to: Seung Pyo Suh, M.D. Department of Orthopedic Surgery, Sung-Ae Hospital, 22 Yeouidaebang-ro 53-gil, Yeongdeungpo-gu, Seoul 07354, Korea. TEL: +82-2-840-7235, FAX: +82-2-840-7755, arcseo@hanmail.net

Received 6 April 2016 Revised 27 July 2016 Accepted 27 September 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: arthroscopy, meniscus, repair, infectious arthritis

Figures and Tables

Figure 1

Intraoperative photograph shows repaired medial meniscus.

Figure 2

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

Figure 3

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

Figure 4

Intraoperative photograph shows repaired medial meniscus.

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.

Figure 6

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

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

References

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