International journal of surgery case reports · 2026
Cutaneous Escherichia coli infection and necrosis after primary total knee arthroplasty: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dong Qiu, Zhuang Tengfeng, Xiao Weiwei, Li Shenghong, Zhang Huan-Tian
Аннотация
INTRODUCTION: Primary total knee arthroplasty (TKA) is common and increasingly performed. Superficial surgical site infections, though rare, risk progressing to deep periprosthetic joint infection, posing a serious management challenge.
CASE PRESENTATION: An 81-year-old woman underwent primary TKA for osteoarthritis. Three months postoperatively, she developed an 8 × 10 cm infected necrotic wound at the incision site after self-applying nonstandard topical agents. A multidisciplinary team performed staged debridement and reconstruction, achieving successful infection control and implant preservation.
DISCUSSION: This case illustrates a severe superficial infection progressing to extensive soft tissue necrosis due to inappropriate self-treatment. The successful outcome was achieved through timely and coordinated surgical interventions by a multidisciplinary team, highlighting the critical need for structured protocols in managing such complex scenarios. This approach effectively prevented the progression to periprosthetic infection and preserved the functional implant.
CONCLUSION: Multidisciplinary collaboration is essential for successfully managing complex post-TKA wound infections, providing a valuable framework for future high-risk orthopedic cases.
CASE PRESENTATION: An 81-year-old woman underwent primary TKA for osteoarthritis. Three months postoperatively, she developed an 8 × 10 cm infected necrotic wound at the incision site after self-applying nonstandard topical agents. A multidisciplinary team performed staged debridement and reconstruction, achieving successful infection control and implant preservation.
DISCUSSION: This case illustrates a severe superficial infection progressing to extensive soft tissue necrosis due to inappropriate self-treatment. The successful outcome was achieved through timely and coordinated surgical interventions by a multidisciplinary team, highlighting the critical need for structured protocols in managing such complex scenarios. This approach effectively prevented the progression to periprosthetic infection and preserved the functional implant.
CONCLUSION: Multidisciplinary collaboration is essential for successfully managing complex post-TKA wound infections, providing a valuable framework for future high-risk orthopedic cases.