Abstract

HERNAN PRADO, Miguel Á; NEVES TEIXEIRA, Ana S; MARTIN FLORES, Elena  and  LLOPIS MIRO, Rafael. Evolución de los reactantes de fase aguda tras la reconstrucción no complicada del ligamento cruzado anterior por vía artroscópica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2015, vol.80, n.2, pp.70-75. ISSN 1852-7434.

Background: The purpose of this report was to determine the levels of inflammatory blood markers over the time after a successful arthroscopic anterior ligament reconstruction and to analyze if any variable of surgical treatment alter this blood marker. Methods: A prospective review was conducted including all anterior cruciate ligament reconstructions performed in our institution between December 2012 and December 2013. C-reactive protein, erythrocyte sedimentation rate and white blood cell count were determined before surgery and at days 1, 15 and 30 postoperatively. Different variables of surgical treatment were collected: ischemic and surgical time, type of graft, associated injuries or type of treatment (meniscal suture, microfractures, etc.). Results: C-reactive protein rose abruptly with surgery and decreased progressively over the time. This was the only marker that returned to preoperative levels by day 30 (P >0.05). Ischemic time was associated with high levels of C-reactive protein. None of the associated treatments had significant effect on C-reactive protein, erythrocyte sedimentation rate or white blood cell count. Conclusions: Blood levels of C-reactive protein can help to take a therapeutic decision when an infection is suspected. If elevated C-reactive protein levels persist after 15 days postsurgery, the presence of infection through arthrocentesis must be ruled out.

Keywords : Anterior cruciate ligament; C-reactive protein; Septic arthritis.

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