Arthroscopic treatment of septic arthritis of the knee in adults. Report of 24 cases

In this study, 24 adult patients with septic knee arthritis were treated by a program including arthroscopic drainage, debridement by synovectomy and postoperative suction-irrigation. The patients started a continuous passive motion using CPM machine in the immediate postoperative period. This protocol achieved 83.3% cure rate from a single arthroscopic session with no evidence of recurrences or osteomyelitis over the follow-up period. The mean range of knee motion at the end of the follow-up period was 110 degrees. The immediate institution of passive motion of the knee after the arthroscopic procedure in the presence of continued washout of the joint cavity by irrigation-suction is a new update in the regimen of treating septic arthritis of the knee introduced in this study. The application of this technique helps in a better cleansing of the joint cavity and drainage of the necrotic debris and harmful proteolytic enzymes. The early results of arthroscopic management of pyogenic arthritis of the knee joint were promising provided that it is done as early as possible after the onset of symptoms and as one item in an integrated program aiming to control infection as well as preservation of the knee joint function

Surgical repair of complete acromioclavicular dislocation augmented with PDS bands. Technique and results

In this study, 23 patients presenting with complete acromioclavicular [AC] joint dislocations were managed by surgical reconstruction. According to Rockwood and Matsen classification, 16 patients had type III lesion, 4 had type IV and 3 patients had type V lesion. The AC as well as the coracoclavicular [CC] ligaments were reconstructed. Augmentation of the reconstruction was done using resorbable 5- and 10-mm PDS bands. The results were assessed postoperatively using the University of California at Los Angeles [UCLA] end-result score. Twenty patients had excellent and good results, while three patients were rated as poor. No calcification of the ligaments was found postoperatively. Two patients had AC joint arthrosis