Late chronic infection in aloarthroplastic surgery: A case report
Kasne hronične infekcije u aloartroplastičnoj hirurgiji - prikaz slučaja

Zorica Jovanović, Milena Ilić, Branko Ristić, Zoran Grujović
2006 Zdravstvena zastita  
Sa'etak. Aloartroplasti~ne procedure zna~ajno poboq{avaju kvalitet 'ivota, me|utim, duboke infekcije u ortopedskoj hirurgiji predstavqaju ozbiqnu, a nekada i fatalnu komplikaciju koja ne kompromituje samo funkcionalni rezultat i pogor{ava po~etno zdravstveno stawe, ve} mo'e ugroziti 'ivot bolesnika. Ciq ovog rada jeste sagledavawe patogeneze kasnih hroni~nih infekcija kostiju po implantaciji, odnosno slo'enih interakcija izme|u mikroorganizama, implantata i doma}ina. U radu je prikazan slu~aj
more » ... e prikazan slu~aj bolesnice kod koje je posle ne{to vi{e od dve godine od implantacije totalne endoproteze kuka ispoqena periproteti~ka infekcija. Bolesnica je primqena u Centar za ortopediju i traumatologiju Klini~kog centra Kragujevac sa bolom, secernirawem, crvenilom i temperaturom u predelu desnog kuka, kao i ulkusom na potkolenici. Na rendgenogramu desnog kuka luksacija proteze i periproteti~na osteoliza. Intraoperativne kulture ostale su sterilne. Za uspe{nost aloartroplasti~nih procedura od velikog je zna~aja razumevawe mo- Summary. While successful total joint replacement offers dramatic and lastig improvement in the quality of life, deep infection is the most feared complication of this procedure as it threatens the function of the joint, the preservation of the limb, and occasionally even the life of the patient. The pathogenesis of late chronic infection and interaction between the microorganisms, the implants and the host have been recognized in this article. This article is a case report of a 75-year-old woman who underwent a right total hip replacement procedure and developed a late periprosthetic infection (more than 24 months after surgery). This woman with perisistent joint pain, effusion, erythema and warmth at the implant site, as well as ulcer on the lower leg hospitalised at Centre for Orthopaedic surgery and Traumatology. Laboratory studies revealed an erythrocyte sedimentation rate of 110mm/1hr, and normal white blood-cell count, with a normal differential. Radiographs of the hip revealed loosening of the prosthetic components and osteolysis. Cultures from joint aspiration and tissue specimen in the corse of the operation was sterile.
doi:10.5937/zz0602019j fatcat:ftqezm3f7rfm5kk3cgbgs2fsn4