Prosthetic joint infection is a rare manifestation of Yersinia enterocolitica. We report a case of a patient presenting with fever and a purulent infection in his prosthetic knee joint caused by Y. enterocolitica. He ...Prosthetic joint infection is a rare manifestation of Yersinia enterocolitica. We report a case of a patient presenting with fever and a purulent infection in his prosthetic knee joint caused by Y. enterocolitica. He had been operated in 1990 for arthrosis of the right knee. Re-operation was performed in 2007 for loosening of the prosthesis. Seven months later, following progressively increasing knee pain, he became acutely febrile and a purulent knee joint infection was diagnosed. Y. enterocolitica was isolated from the joint fluid. Serum antibodies against Y. enterocolitica were also positive. He was treated with debridement, replacement of the liner component of the prosthesis and a long course of intravenous antimicrobial therapy. The infection was thought to be in a chronic suppressive state. The final outcome after all therapy was good.展开更多
目的评价多模式复位联合软骨面下多角度排钉技术固定对复杂胫骨平台骨折的疗效。方法回顾性选取2018年1月—2022年12月广西壮族自治区桂东人民医院收治的50例胫骨平台骨折(fracture of tibial plateau,FTP)患者的临床资料,根据治疗方法...目的评价多模式复位联合软骨面下多角度排钉技术固定对复杂胫骨平台骨折的疗效。方法回顾性选取2018年1月—2022年12月广西壮族自治区桂东人民医院收治的50例胫骨平台骨折(fracture of tibial plateau,FTP)患者的临床资料,根据治疗方法的不同分为两组,每组25例。常规组采用常规钢板内固定治疗,多模式组采用常规钢板内固定治疗+多模式复位联合软骨面下多角度排钉技术固定治疗,对比两组手术及康复情况、手术成功率、膝关节功能情况、术后并发症发生率。结果多模式组手术耗时长于常规组,多模式组术中出血量少于常规组,多模式组住院时间、骨折愈合时间均短于常规组,差异有统计学意义(P<0.05)。多模式组手术成功率高于常规组,但差异无统计学意义(P>0.05)。术后6个月,多模式组Lysholm膝关节功能各项评分均高于常规组,差异有统计学意义(P<0.05)。术后6个月,多模式组并发症发生率为0低于常规组的20.00%,差异有统计学意义(χ^(2)=5.556,P<0.05)。结论多模式复位+软骨面下多角度排钉技术固定联合应用于复杂FTP治疗中,手术成功率较高、术后并发症发生率低,缩短患者骨折愈合耗时、住院耗时,明显改善术后患者膝关节功能。展开更多
基金supported by the Turku University Hospital and the Anne and Rauno Puolimatka Foundation.
文摘Prosthetic joint infection is a rare manifestation of Yersinia enterocolitica. We report a case of a patient presenting with fever and a purulent infection in his prosthetic knee joint caused by Y. enterocolitica. He had been operated in 1990 for arthrosis of the right knee. Re-operation was performed in 2007 for loosening of the prosthesis. Seven months later, following progressively increasing knee pain, he became acutely febrile and a purulent knee joint infection was diagnosed. Y. enterocolitica was isolated from the joint fluid. Serum antibodies against Y. enterocolitica were also positive. He was treated with debridement, replacement of the liner component of the prosthesis and a long course of intravenous antimicrobial therapy. The infection was thought to be in a chronic suppressive state. The final outcome after all therapy was good.
文摘目的评价多模式复位联合软骨面下多角度排钉技术固定对复杂胫骨平台骨折的疗效。方法回顾性选取2018年1月—2022年12月广西壮族自治区桂东人民医院收治的50例胫骨平台骨折(fracture of tibial plateau,FTP)患者的临床资料,根据治疗方法的不同分为两组,每组25例。常规组采用常规钢板内固定治疗,多模式组采用常规钢板内固定治疗+多模式复位联合软骨面下多角度排钉技术固定治疗,对比两组手术及康复情况、手术成功率、膝关节功能情况、术后并发症发生率。结果多模式组手术耗时长于常规组,多模式组术中出血量少于常规组,多模式组住院时间、骨折愈合时间均短于常规组,差异有统计学意义(P<0.05)。多模式组手术成功率高于常规组,但差异无统计学意义(P>0.05)。术后6个月,多模式组Lysholm膝关节功能各项评分均高于常规组,差异有统计学意义(P<0.05)。术后6个月,多模式组并发症发生率为0低于常规组的20.00%,差异有统计学意义(χ^(2)=5.556,P<0.05)。结论多模式复位+软骨面下多角度排钉技术固定联合应用于复杂FTP治疗中,手术成功率较高、术后并发症发生率低,缩短患者骨折愈合耗时、住院耗时,明显改善术后患者膝关节功能。
