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Fungal Infection FollowingReplacement of the Anterior Cruciate Ligament A Case Report
W. Vincent Burke, MD; Gregory A. Zych, DO
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Investigation performed at the Department of Orthopaedics and Rehabilitation, University of Miami, Miami, Florida

W. Vincent Burke, MD
Anderson Orthopaedic Research Institute, 2501 Parker’s Lane, Alexandria, VA 22306

Gregory A. Zych, DO
Department of Orthopaedics and Rehabilitation, University of Miami, P.O. Box 016960, Miami, FL 33101

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

J Bone Joint Surg Am, 2002 Mar 01;84(3):449-453
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Although many complications have been reported following arthroscopically assisted reconstruction of the anterior cruciate ligament, it remains a common orthopaedic procedure and postoperative infections are rare1-3. The reported prevalence of deep knee infection has ranged from 0.3% to 0.42%2, with Staphylococcus aureus, Staphylococcus epidermidis, and Peptostreptococcus being the most common organisms2-4. This case report describes replacement of the anterior cruciate ligament with an autogenous bone-patellar tendon-bone graft that was complicated by mucormycosis osteomyelitis. This destructive osteomyelitis resulted in a large cavitary lesion of the proximal part of the tibia. To our knowledge, this is the first report of a deep fungal infection following replacement of the anterior cruciate ligament.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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