Editorial Commentary: Playing With the Odds: Long-Term Joint Preservation Strategies Are Critical Following Postoperative Infection After Anterior Cruciate Ligament Reconstruction.

Authors

Alexandros Lykos, Nikolaos K Paschos

Published in

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. Aug 30, 2026. Epub Aug 30, 2026.

Abstract

Even though rare, infection after anterior cruciate ligament reconstruction can have a devastating long-term effect, leading to knee arthritis for these patients. Three major strategies exist in the management of perioperative infection after anterior cruciate ligament reconstruction: infection prevention, eradication of the infection in the acute setting, and long-term management of these patients. Infection prevention can be possible with soaked grafts in vancomycin and proper patient, graft, and technique selection. Aggressive management toward eradication of the microorganism, but without compromising the biomechanical environment of the knee, can be a delicate balance. After the acute phase, focusing on restoring anatomy, enhancing healing, and improving the microenvironment may be the solution for longevity of the knee joint.

PMID:
42669169
Bibliographic data and abstract were imported from PubMed on 31 Aug 2026.

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