Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 9/2016

01-09-2016 | Editorial

Local vancomycin in ACL reconstruction: a modern rationale (2016) for morbidity prevention and patient safety

Authors: Karl Eriksson, Jon Karlsson

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2016

Login to get access

Excerpt

ACL reconstruction (ACL-R) in 2016 still faces two major challenges. The first is to improve the surgical technique and consequently the overall results, and the second is to minimise the morbidity of the procedure. The fact is that, if significant improvements in both these areas can be achieved, we would most probably offer surgical treatment (repair or reconstruction) as the first line of treatment to most young and middle-aged patients sustaining an ACL rupture. This argument could be compared with tibial fractures or other traumatic conditions, where surgical treatment has become the first line of treatment unless contraindicated.
Literature
1.
go back to reference Boström Windhamre H, Mikkelsen C, Forssblad M, Willberg L (2014) Postoperative septic arthritis after anterior cruciate ligament reconstruction: Does it affect the outcome? A retrospective controlled study. Arthroscopy 30(9):1100–1109CrossRefPubMed Boström Windhamre H, Mikkelsen C, Forssblad M, Willberg L (2014) Postoperative septic arthritis after anterior cruciate ligament reconstruction: Does it affect the outcome? A retrospective controlled study. Arthroscopy 30(9):1100–1109CrossRefPubMed
2.
go back to reference Calvo R, Figueroa D, Anastasiadis Z, Vaisman A, Olid A, Gili F, Valderrama JJ, De La Fuente P (2014) Septic arthritis in ACL reconstruction surgery with hamstring autografts. Eleven years of experience. Knee 21(3):717–720CrossRefPubMed Calvo R, Figueroa D, Anastasiadis Z, Vaisman A, Olid A, Gili F, Valderrama JJ, De La Fuente P (2014) Septic arthritis in ACL reconstruction surgery with hamstring autografts. Eleven years of experience. Knee 21(3):717–720CrossRefPubMed
3.
go back to reference Caroom C, Tullar JM, Benton EG Jr, Jones JR, Chaput CD (2013) Intrawound vancomycin powder reduces surgical site infections in posterior cervical fusion. Spine (Phila Pa 1976) 38(14):1183–1187CrossRef Caroom C, Tullar JM, Benton EG Jr, Jones JR, Chaput CD (2013) Intrawound vancomycin powder reduces surgical site infections in posterior cervical fusion. Spine (Phila Pa 1976) 38(14):1183–1187CrossRef
4.
go back to reference Grayson JE, Grant GD, Dukie S, Vertullo CJ (2011) The in vitro elution characteristics of vancomycin from tendons. Clin Orthop Relat Res 469(10):2948–2952CrossRefPubMedPubMedCentral Grayson JE, Grant GD, Dukie S, Vertullo CJ (2011) The in vitro elution characteristics of vancomycin from tendons. Clin Orthop Relat Res 469(10):2948–2952CrossRefPubMedPubMedCentral
5.
go back to reference Kanj WW, Flynn JM, Spiegel DA, Dormans JP, Baldwin KD (2013) Vancomycin prophylaxis of surgical site infection in clean orthopedic surgery. Orthopedics 36(2):138–146CrossRefPubMed Kanj WW, Flynn JM, Spiegel DA, Dormans JP, Baldwin KD (2013) Vancomycin prophylaxis of surgical site infection in clean orthopedic surgery. Orthopedics 36(2):138–146CrossRefPubMed
6.
go back to reference Kieser TM, Rose MS, Aluthman U, Montgomery M, Louie T, Belenkie I (2014) Toward zero: deep sternal wound infection after 1001 consecutive coronary artery bypass procedures using arterial grafts: implications for diabetic patients. J Thorac Cardiovasc Surg 148(5):1887–1895CrossRefPubMed Kieser TM, Rose MS, Aluthman U, Montgomery M, Louie T, Belenkie I (2014) Toward zero: deep sternal wound infection after 1001 consecutive coronary artery bypass procedures using arterial grafts: implications for diabetic patients. J Thorac Cardiovasc Surg 148(5):1887–1895CrossRefPubMed
7.
go back to reference Monaco E, Maestri B, Vadala A, Iorio R, Ferretti A (2010) Return to sports activity after postoperative septic arthritis in ACL reconstruction. Phys Sportsmed 38(3):69–76CrossRefPubMed Monaco E, Maestri B, Vadala A, Iorio R, Ferretti A (2010) Return to sports activity after postoperative septic arthritis in ACL reconstruction. Phys Sportsmed 38(3):69–76CrossRefPubMed
8.
go back to reference Monaco E, Maestri B, Labianca L, Speranza A, Vadala A, Iorio R, Ferretti A (2010) Clinical and radiological outcomes of postoperative septic arthritis after anterior cruciate ligament reconstruction. J Orthop Sci 15(2):198–203CrossRefPubMed Monaco E, Maestri B, Labianca L, Speranza A, Vadala A, Iorio R, Ferretti A (2010) Clinical and radiological outcomes of postoperative septic arthritis after anterior cruciate ligament reconstruction. J Orthop Sci 15(2):198–203CrossRefPubMed
9.
go back to reference Mouzopoulos G, Fotopoulos VC, Tzurbakis M (2009) Septic knee arthritis following ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc 17(9):1033–1042CrossRefPubMed Mouzopoulos G, Fotopoulos VC, Tzurbakis M (2009) Septic knee arthritis following ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc 17(9):1033–1042CrossRefPubMed
10.
go back to reference Perez-Prieto D, Torres-Claramunt R, Gelber PE, Shehata TM, Pelfort X, Monllau JC (2014) Autograft soaking in vancomycin reduces the risk of infection after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3438-y Perez-Prieto D, Torres-Claramunt R, Gelber PE, Shehata TM, Pelfort X, Monllau JC (2014) Autograft soaking in vancomycin reduces the risk of infection after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-014-3438-y
11.
go back to reference Phegan M, Grayson JE, Vertullo CJ (2015) No infections in 1300 anterior cruciate ligament reconstructions with vancomycin pre-soaking of hamstring grafts. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-015-3558-z Phegan M, Grayson JE, Vertullo CJ (2015) No infections in 1300 anterior cruciate ligament reconstructions with vancomycin pre-soaking of hamstring grafts. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-015-3558-z
12.
go back to reference Vertullo CJ, Quick M, Jones A, Grayson JE (2012) A surgical technique using presoaked vancomycin hamstring grafts to decrease the risk of infection after anterior cruciate ligament reconstruction. Arthroscopy 28(3):337–342CrossRefPubMed Vertullo CJ, Quick M, Jones A, Grayson JE (2012) A surgical technique using presoaked vancomycin hamstring grafts to decrease the risk of infection after anterior cruciate ligament reconstruction. Arthroscopy 28(3):337–342CrossRefPubMed
Metadata
Title
Local vancomycin in ACL reconstruction: a modern rationale (2016) for morbidity prevention and patient safety
Authors
Karl Eriksson
Jon Karlsson
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4283-y

Other articles of this Issue 9/2016

Knee Surgery, Sports Traumatology, Arthroscopy 9/2016 Go to the issue