December 13, 2012
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Patients with arthritis show diminished long-term outcome scores after ACL surgery

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Patients who developed septic arthritis after ACL reconstruction surgery continued to show declined outcome scores at long-term follow-up, according to Cleveland researchers.

“Patients who develop septic arthritis as a complication of ACL reconstruction surgery have diminished long-term subjective, functional and radiographic outcomes compared with historical reports of uncomplicated cases, likely related to pain from advanced arthritis,” David L. Schub, MD, and colleagues stated in the study abstract.

At average 17.9-year follow-up, the researchers reported decreased SF-36, Lysholm and IKDC scores, while Tegner scores were unchanged, according to the abstract. However, the patients had improved average vertical hop test performance and Biodex dynamometry. MRI and radiographic results showed increased arthritis in all patients and an ACL graft rupture in a single patient, according to the abstract.