The management of concomitant septic arthritis of the knee and femoral osteomyelitis – A case series and literature review
| Autor: | Rex Premchand Anthony Xavier, Derek Howard Park, Chung Hui James Tan, Chee Chung Jonathan Low, Gek Meng Tan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Case Report Critical Care and Intensive Care Medicine Timely diagnosis 03 medical and health sciences 0302 clinical medicine medicine Antibiotic-impregnated cement rod Orthopedics and Sports Medicine Femur Knee 030222 orthopedics Surgical approach business.industry Osteomyelitis Surgical debridement 030208 emergency & critical care medicine medicine.disease Surgery Concomitant Ambulatory Emergency Medicine Septic arthritis business Infection |
| Zdroj: | Trauma Case Reports Trauma Case Reports, Vol 32, Iss, Pp 100410-(2021) |
| ISSN: | 2352-6440 |
| Popis: | We present a case series comprising three patients with concomitant septic arthritis of the knee and osteomyelitis of the femur. Early advanced imaging rendered the accurate diagnosis of the condition and the appropriate surgical approach and technique used to treat the infection. Repeated extensive surgical debridement, irrigation and insertion of antibiotic-impregnated cement rod into the femur were required, in addition to long term antibiotics. The infection in all three cases was eradicated successfully. Following a period of physical rehabilitation, they had fairly preserved independent ambulatory function. We advocate a high index of suspicion of this condition with subsequent early advanced imaging for a timely diagnosis. In addition, we described our challenges in the fabrication process of the antibiotic-impregnated cement rod. Highlights • Concomitant knee septic arthritis and femoral osteomyelitis is rare. • A high index of suspicion is required for diagnosis of this condition. • Advanced imaging with MRI helps identify this condition in a timely manner. • Surgical debridement is necessary for complete eradication of infection. • The antibiotic-impregnated cement rod is effective in treating femoral osteomyelitis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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