{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:37:01Z","timestamp":1787755021117,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 21-year-old woman presented with sepsis from methicillin-resistant\n                      <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic>\n                      , patellar osteomyelitis, and 6 \u00d7 4 \u00d7 2-cm proximal anteromedial soft-tissue defect 1 week after bone-tendon-bone autograft anterior cruciate ligament reconstruction (ACL-R). She underwent multiple irrigation and debridement (I&amp;Ds), hardware removal, bone grafting with antibiotic-loaded tricalcium phosphate beads, and medial gastrocnemius perforator flap with plastic surgery. At 18 months after her initial ACL-R, single-stage revision ACL-R with quadriceps autograft was performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>When acute ACL-R infection does not respond to initial I&amp;D and Intravenous (IV) antibiotics, retained hardware and graft tissue must be removed expeditiously to prevent sepsis, osteomyelitis, and soft-tissue defects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00114","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T14:02:12Z","timestamp":1691589732000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of ACL Reconstruction Complicated by MRSA Osteomyelitis Requiring a Gastrocnemius Perforator Flap"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5786-9862","authenticated-orcid":false,"given":"Ikenna","family":"Ifearulundu","sequence":"first","affiliation":[{"name":"Midwest Orthopaedics at Rush University, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2091-2341","authenticated-orcid":false,"given":"Vahram","family":"Gamsarian","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush University, Chicago, IL"},{"name":"University of Michigan Medical Center, Ann Arbor, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5308-1383","authenticated-orcid":false,"given":"Elyse J.","family":"Berlinberg","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush University, Chicago, IL"},{"name":"NYU Langone Health, NY, 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