Multiligamentous Knee Reconstruction Complicated by Septic Arthritis Following Cosmetic Surgery, A Case Report.

One patient. Nothing in this report tells you how another person with the same injury and infection would recover. The infection followed an elective cosmetic procedure 11 days earlier, but the authors state that causation cannot be established. Hop testing and movement coordination testing, both recommended by the guideline the authors followed, were never completed because the patient resumed coaching on her own and stopped attending physical therapy. Longer-term patient-reported outcomes and strength data were not available, so the report says nothing about how she did beyond the last visit. A change in insurance coverage reduced the number of authorised physical therapy visits and irregular attendance limited how far rehabilitation could be progressed. Outcomes in other patients may vary with infection timing, injury severity, graft type and the type of elective surgery, and the authors say so themselves.

The authors report no conflicts of interest. The case report was completed during the University of Florida Health Sports Residency, which is approved by the American Board of Physical Therapy Specialties.

Do not read this as proof that the phased rehabilitation programme produced this patient's return to running and coaching gymnastics. It describes one person, the hop testing and movement coordination testing recommended by the guideline were never completed, and she chose to resume higher-level activity on her own before rehabilitation finished.