PREVENTION OF SUPPURATIVE KNEE ARTHRITIS AFTER RECONSTRUCTIVE SURGERY FOR KNEE LIGAMENTS-Innovations in Preventive Procedures at Our Hospital: "Preservation of the ligament for Reconstruction in Isodine"- : —Innovations in Preventive Procedures at Our Hos

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While there have been numerous reports on surgical procedures (determination of the position of the bone tunnel, selection of a tendon graft, etc.) for the reconstruction of knee ligaments, particularly the anterior cruciate ligament (ACL), there have been few reports on the prevention of infections in these cases. We have published a number of reports on the therapeutic outcomes of reconstruction of the knee ligaments. In the present report, we describe“intraoperative innovation's, ”a preventive procedure against the development of infection after surgical reconstruction of knee ligaments. The subjects were 522 patients who underwent reconstructive surgery for knee ligaments under endoscopic observation from April 2001 to October 2005. From the insight we gained from our expresienece with infections since 2001, we continued to make innovations, including change of the suture thread material and the intraarticular indwelling drain. Recently, we developed the so-called“preservation of the ligament for reconstruction in Isodine”; i.e., the ligament is preserved in povidoneiodine until just before its insertion into the bone tunnel, and then washed with physiological saline before the actual insertion. There were 12 cases of infection between 2001 and 2004. However, there has not been a single case of infection since September 2004 when we began to practice“preservation of the ligament for reconstruction in Isodine.”Preventive procedures for infections, particularly the use of povidone-iodine, are essential for reducing the risk of suppurative arthritis, after endoscopic knee surgery, although the issue of cytotoxicity still remains to be evaluated.

PREVENTION OF SUPPURATIVE KNEE ARTHRITIS AFTER RECONSTRUCTIVE SURGERY FOR KNEE LIGAMENTS-Innovations in Preventive Procedures at Our Hospital: "Preservation of the ligament for Reconstruction in Isodine"- : —Innovations in Preventive Procedures at Our Hos

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