Juniper Publishers - Septic Lyme Arthritis after Recent Anterior Cruciate Ligament Reconstruction
Orthopedics and Rheumatology Open Access Journal Abstract It is estimated that in the United States, there are approximately 100,000 primary anterior cruciate ligament (ACL) reconstructions performed yearly. Reports of septic arthritis after ACL reconstruction are rare, ranging from 0.14% to 0.48% in the literature. 1-5 There are no other reports in the current literature documenting the treatment of Lyme arthritis after ACL reconstruction. A 19-year-old male sustained a non-contact injury to his left knee while playing basketball. The patient underwent 6 weeks of rehabilitation and subsequent ACL reconstruction with Achilles tendon allograft. The patient developed Lyme arthritis of the knee three months after ACL reconstruction. The patient underwent urgent irrigation and debridement with retention of graft. At final five-year follow-up the patient had returned to full activity, without complaints. We report on a patient who underwent successful treatment for L...