Author:
Ren Haiyong,Huang Kai,Tong Peijian,Zhu Yansheng
Abstract
Abstract
Background
Posttraumatic patella osteomyelitis is rare, and the treatment of osteomyelitis remains to be challenging. Control of the infection commonly costs a long time, and it is easily to cause knee stiffness. In addition, there is no unified protocol for the treatment of knee stiffness.
Case presentation
We reported a case of posttraumatic patella osteomyelitis that successive infected with methicillin-resistant staphylococcus aureus (MRSA) after multiple surgeries. We successfully treated osteomyelitis by one-staged surgery, but the patient present knee stiffness after treatment. Thus Ilizarov external fixation system was further used to gradually adjust the mobility by exerting mechanical stress to the joint. After adjusting the frame under a scheduled plan, the patient successfully restored satisfactory knee function.
Conclusions
Adequate debridement is the key to control infections of posttraumatic osteomyelitis. Control the infection of posttraumatic patella osteomyelitis by one-staged surgery is achievable and could shorten the knee immobilization period. When knee stiffness occurs, scheduled range of motion (ROM) adjustment using Ilizarov frame with hinges might be a safe and useful method to restore function.
Funder
National Natural Science Foundation of China
Zhejiang province medical and health science and technology plan innovation talent project
Zhejiang outstanding young talents in traditional Chinese medicine fund project
Medical Health Science and Technology Project of Zhejiang Provincial Health
Publisher
Springer Science and Business Media LLC
Reference22 articles.
1. Hogan A, Heppert VG, Suda AJ. Osteomyelitis. Arch Orthop Trauma Surg. 2013;133(9):1183–96.
2. Wang X, Luo F, Huang K, Xie Z. Induced membrane technique for the treatment of bone defects due to post-traumatic osteomyelitis. Bone Jt Res. 2016;5(3):101–5.
3. Peng J, Ren Y, He W, Li Z, Yang J, Liu Y, et al. Epidemiological, clinical and microbiological characteristics of patients with post-traumatic osteomyelitis of limb fractures in Southwest China: a hospital-based study. J Bone Jt Infect. 2017;2(3):149–53.
4. Roy DR. Osteomyelitis of the patella. Clin Orthop Relat Res. 2001;389:30–4.
5. Lee SY, Niikura T, Miwa M, Sakai Y, Oe K, Fukazawa T, et al. Negative pressure wound therapy for the treatment of infected wounds with exposed knee joint after patellar fracture. Orthopedics. 2011;34(6):211.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献