The Knee
Volume 17, Issue 2, March 2010, Pages 176-178
Mycobacterium fortuitum infection after anterior cruciate ligament reconstruction using a polylactic acid bioabsorbable screw: Case report
杩愮敤鑱氫钩閰哥敓鐗╁彲鍚告敹铻洪拤閲嶅缓鍓嶄氦鍙夐煣甯﹀悗鍋跺彂鍒嗘灊鏉嗚弻鎰熸煋锛氱梾渚嬫姤閬?br />Horng Lii Oha, Darren B. Chena, Bradley G. Seetoa and Samuel J. MacDessi , a, 
a Sydney Knee Specialists, Suite 211, 203-233 New South Head Road, Edgecliff, NSW 2027, Australia
Abstract
We report a case of pretibial sinus and abscess after anterior cruciate ligament reconstruction using a polylactic acid tricalcium phosphate bioabsorbable screw for tibial fixation.鎴戜滑鎶ラ亾涓€渚嬪墠浜ゅ弶闊у甫閲嶅缓锛岃繍鐢ㄨ仛涔抽吀涓夐挋纾烽吀鍙惛鏀惰灪閽夎儷楠ㄤ晶鍥哄畾鍚庡嚭鐜拌儷楠ㄥ墠绐﹂亾鍙婅創鑲跨殑鐥呬緥銆?Mycobacterium fortuitum was identified as the pathogen after specific mycobacterial cultures were obtained from operative specimens. 瀵规墜鏈儴浣嶆爣鏈粡鐗瑰紓鎬у垎鏋濇潌鑿屽煿鍏荤‘璁ゅ伓鍙戝垎鏋濇潌鑿屾槸鐥呭師鑿屻€侻. fortuitum is a known but rare cause of periprosthetic infection. 鍋跺彂鍒嗘灊鏉嗚弻鏄亣浣撳懆鍥村彲鑳藉嚭鐜扮殑锛屼絾寰堝皯鍑虹幇鐨勬劅鏌撹弻銆侱iagnosis is often delayed as routine microbiological cultures do not utilise specific culture requirements for mycobacterial growth. 璇婃柇閫氬父浼氳鍥犻€氬父鐨勫井鐢熺墿瀛﹀煿鍏讳笉浣跨敤鍒嗘灊鏉嗚弻鐢熼暱鐗瑰紓鍩瑰吇鑰屼笉鑳藉強鏃舵槑纭瘖鏂€俆here have been several reports in the literature of sterile abscesses associated with bioabsorbable screws. 鏈夊嚑涓姤閬撹鍙惛鏀惰灪閽夊浐瀹氬悗鍙兘浼氬嚭鐜版棤鑿岃創鑲裤€俆o our knowledge, this is the first case report of a non-tuberculous mycobacterial infection associated with a bioabsorbable implant. 鎹垜浠墍鐭ワ紝鎴戜滑鐨勮繖涓姤鍛婃椂棣栨鍏充簬鍙惛鏀惰灪閽夊悗闈炵粨鏍稿垎鏋濇潌鑿屾劅鏌撶殑鐥呬緥鎶ュ憡銆俆his case illustrates that post-operative Mycobacterium infection can occur as a complication of ACL reconstruction with bioabsorbable screw fixation and should be considered in the differential diagnosis of post-operative periprosthetic infection.鏈梾渚嬭〃鏄庡湪鍓嶄氦鍙夐煣甯﹂噸寤鸿繍鐢ㄥ彲鍚告敹铻洪拤鍥哄畾鑳渚ф湳鍚庡垎鏋濇潌鑿屾劅鏌撳彲鑳藉彂鐢熴€傝繖鍦ㄦ湳鍚庡彂鐢熷亣浣撳懆鍥存劅鏌撶殑鍞悗瑕佷綔涓洪壌鍒瘖鏂殑椤圭洰杩涜鑰冭檻/
Keywords: Abscess; Anterior cruciate ligament reconstruction; Bioabsorbable interference screw; Infection; Mycobacterium fortuitum
鍏抽敭璇嶏細鑴撹偪锛屽墠浜ゅ弶闊у甫閲嶅缓锛岀敓鐗╁彲鍚告敹鐣岄潰铻洪拤锛屾劅鏌擄紝鍋跺彂鍒嗘灊鏉嗚弻