Intra-operative hamstring tendon graft contamination in anterior cruciate ligament reconstruction
We aimed to evaluate the possibility of hamstring tendon contamination, the correlation with clinical infection and its association with C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values in 89 anterior cruciate ligament reconstructions. Two tissue samples were obtained for cul...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2009-09, Vol.17 (9), p.1043-1047 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Gavriilidis, Iosif Pakos, Emilios E. Wipfler, Benjamin Benetos, Ioannis S. Paessler, Hans H. |
| description | We aimed to evaluate the possibility of hamstring tendon contamination, the correlation with clinical infection and its association with C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values in 89 anterior cruciate ligament reconstructions. Two tissue samples were obtained for culture from each graft: immediately after harvesting the graft and before implantation. The ESR and the CRP were evaluated preoperatively and on the 4th and 20th postoperative days. Nine patients (10%) had positive cultures but no patient had signs of postoperative infection. All patients had ESR and CRP values elevated at the 4th postoperative day. ESR and CRP values returned to normal levels at the 20th postoperative day. Higher mean values of CRP levels at the 4th day were observed in patients with contaminated grafts compared to those with uncontaminated. Both values reached normal levels at the 20th postoperative day. |
| doi_str_mv | 10.1007/s00167-009-0836-7 |
| format | Article |
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Two tissue samples were obtained for culture from each graft: immediately after harvesting the graft and before implantation. The ESR and the CRP were evaluated preoperatively and on the 4th and 20th postoperative days. Nine patients (10%) had positive cultures but no patient had signs of postoperative infection. All patients had ESR and CRP values elevated at the 4th postoperative day. ESR and CRP values returned to normal levels at the 20th postoperative day. Higher mean values of CRP levels at the 4th day were observed in patients with contaminated grafts compared to those with uncontaminated. Both values reached normal levels at the 20th postoperative day.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-009-0836-7</identifier><identifier>PMID: 19536521</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Antibiotics ; Arthritis ; Blood Sedimentation ; C-Reactive Protein - analysis ; Culture ; Disease prevention ; Erythema ; Female ; Humans ; Infection ; Infections ; Intraoperative Period ; Knee ; Knees ; Ligaments ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Patients ; Prospective Studies ; Proteins ; Range of motion ; Reconstructive Surgical Procedures - methods ; Sports ; Surgery ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - microbiology ; Tendon Transfer - methods ; Tendons ; Tendons - microbiology ; Tissue and Organ Harvesting ; Transplantation, Autologous</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2009-09, Vol.17 (9), p.1043-1047</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-5aaed909f48e36d8cf543a68e92019de4ca49848dd935d8ac8847b7b882995353</citedby><cites>FETCH-LOGICAL-c402t-5aaed909f48e36d8cf543a68e92019de4ca49848dd935d8ac8847b7b882995353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-009-0836-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-009-0836-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19536521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gavriilidis, Iosif</creatorcontrib><creatorcontrib>Pakos, Emilios E.</creatorcontrib><creatorcontrib>Wipfler, Benjamin</creatorcontrib><creatorcontrib>Benetos, Ioannis S.</creatorcontrib><creatorcontrib>Paessler, Hans H.</creatorcontrib><title>Intra-operative hamstring tendon graft contamination in anterior cruciate ligament reconstruction</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>We aimed to evaluate the possibility of hamstring tendon contamination, the correlation with clinical infection and its association with C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values in 89 anterior cruciate ligament reconstructions. Two tissue samples were obtained for culture from each graft: immediately after harvesting the graft and before implantation. The ESR and the CRP were evaluated preoperatively and on the 4th and 20th postoperative days. Nine patients (10%) had positive cultures but no patient had signs of postoperative infection. All patients had ESR and CRP values elevated at the 4th postoperative day. ESR and CRP values returned to normal levels at the 20th postoperative day. Higher mean values of CRP levels at the 4th day were observed in patients with contaminated grafts compared to those with uncontaminated. Both values reached normal levels at the 20th postoperative day.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Antibiotics</subject><subject>Arthritis</subject><subject>Blood Sedimentation</subject><subject>C-Reactive Protein - analysis</subject><subject>Culture</subject><subject>Disease prevention</subject><subject>Erythema</subject><subject>Female</subject><subject>Humans</subject><subject>Infection</subject><subject>Infections</subject><subject>Intraoperative Period</subject><subject>Knee</subject><subject>Knees</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Proteins</subject><subject>Range of motion</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Sports</subject><subject>Surgery</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - microbiology</subject><subject>Tendon Transfer - methods</subject><subject>Tendons</subject><subject>Tendons - microbiology</subject><subject>Tissue and Organ Harvesting</subject><subject>Transplantation, Autologous</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkV1LHDEUhoO06Lr6A3pTht54Fc3nTHJZRKsgeGOvw9nMmW1kJ7NNMoX-ezPsglAoXiWEJ-_hPQ8hXzi75ox1N5kx3naUMUuZkS3tTsiKKylpJ1X3iayYVYIKptszcp7zK2P1quwpOeNWy1YLviLwGEsCOu0xQQl_sPkFYy4pxG1TMPZTbLYJhtL4KRYYQ6xQfQuxgVgwhSk1Ps0-QMFmF7YwYixNwkrXkNkv8AX5PMAu4-XxXJOf93cvtw_06fnH4-33J-oVE4VqAOwts4MyKNve-EErCa1BKxi3PSoPyhpl-t5K3Rvwxqhu022MEba20XJNrg65-zT9njEXN4bscbeDiNOcndWqVlZafEjW7THZKbNkfvuHfJ3mFGsNJ8SyfK55hfgB8mnKOeHg9imMkP46ztziyR08uerJLZ7qgDX5egyeNyP27z-OYiogDkDeLzIwvU_-f-obbjyeaQ</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Gavriilidis, Iosif</creator><creator>Pakos, Emilios E.</creator><creator>Wipfler, Benjamin</creator><creator>Benetos, Ioannis S.</creator><creator>Paessler, Hans H.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Intra-operative hamstring tendon graft contamination in anterior cruciate ligament reconstruction</title><author>Gavriilidis, Iosif ; Pakos, Emilios E. ; Wipfler, Benjamin ; Benetos, Ioannis S. ; Paessler, Hans H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-5aaed909f48e36d8cf543a68e92019de4ca49848dd935d8ac8847b7b882995353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Antibiotics</topic><topic>Arthritis</topic><topic>Blood Sedimentation</topic><topic>C-Reactive Protein - analysis</topic><topic>Culture</topic><topic>Disease prevention</topic><topic>Erythema</topic><topic>Female</topic><topic>Humans</topic><topic>Infection</topic><topic>Infections</topic><topic>Intraoperative Period</topic><topic>Knee</topic><topic>Knees</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Proteins</topic><topic>Range of motion</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Sports</topic><topic>Surgery</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - microbiology</topic><topic>Tendon Transfer - methods</topic><topic>Tendons</topic><topic>Tendons - microbiology</topic><topic>Tissue and Organ Harvesting</topic><topic>Transplantation, Autologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gavriilidis, Iosif</creatorcontrib><creatorcontrib>Pakos, Emilios E.</creatorcontrib><creatorcontrib>Wipfler, Benjamin</creatorcontrib><creatorcontrib>Benetos, Ioannis S.</creatorcontrib><creatorcontrib>Paessler, Hans H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gavriilidis, Iosif</au><au>Pakos, Emilios E.</au><au>Wipfler, Benjamin</au><au>Benetos, Ioannis S.</au><au>Paessler, Hans H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intra-operative hamstring tendon graft contamination in anterior cruciate ligament reconstruction</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>17</volume><issue>9</issue><spage>1043</spage><epage>1047</epage><pages>1043-1047</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>We aimed to evaluate the possibility of hamstring tendon contamination, the correlation with clinical infection and its association with C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values in 89 anterior cruciate ligament reconstructions. Two tissue samples were obtained for culture from each graft: immediately after harvesting the graft and before implantation. The ESR and the CRP were evaluated preoperatively and on the 4th and 20th postoperative days. Nine patients (10%) had positive cultures but no patient had signs of postoperative infection. All patients had ESR and CRP values elevated at the 4th postoperative day. ESR and CRP values returned to normal levels at the 20th postoperative day. Higher mean values of CRP levels at the 4th day were observed in patients with contaminated grafts compared to those with uncontaminated. Both values reached normal levels at the 20th postoperative day.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19536521</pmid><doi>10.1007/s00167-009-0836-7</doi><tpages>5</tpages></addata></record> |
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| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2009-09, Vol.17 (9), p.1043-1047 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Aged, 80 and over Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Antibiotics Arthritis Blood Sedimentation C-Reactive Protein - analysis Culture Disease prevention Erythema Female Humans Infection Infections Intraoperative Period Knee Knees Ligaments Male Medicine Medicine & Public Health Middle Aged Orthopedics Patients Prospective Studies Proteins Range of motion Reconstructive Surgical Procedures - methods Sports Surgery Surgical Wound Infection - epidemiology Surgical Wound Infection - microbiology Tendon Transfer - methods Tendons Tendons - microbiology Tissue and Organ Harvesting Transplantation, Autologous |
| title | Intra-operative hamstring tendon graft contamination in anterior cruciate ligament reconstruction |
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