An arthroscopic anterior cruciate ligament repair was followed by gas-gangrene and the development of a compartment syndrome. Treatment consisted of extensive fasciotomy, debridement, and antibiotic therapy with penicillin G, cefotiam, and metronidazole. The patient was also treated with five sessions of hyperbaric oxygen in a pressure chamber for a duration of 2 h per session. This therapeutic regimen resulted in the preservation of a functionally intact extremity despite severe complication.
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http://dx.doi.org/10.1016/0749-8063(89)90098-4 | DOI Listing |
Unfallchirurg
March 2012
Abteilung für Septische Chirurgie, BG-Unfallklinik Frankfurt/Main, Friedberger Landstr. 430, 60389, Frankfurt/Main, Deutschland.
Soft-tissue emphysema following surgical procedures needs prompt and accurate diagnosis in order not to miss severe infections, such as clostridial myonecrosis and necrotizing fasciitis. We report the case of a 32-year-old patient who developed massive crepitation of the right leg and thoracic wall after knee arthroscopy had been performed a few days earlier. He was readmitted under suspicion of gas gangrene.
View Article and Find Full Text PDFZhonghua Wai Ke Za Zhi
December 2008
Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, China.
Objective: To evaluate the patients with bone injury in Wenchuan earthquake.
Methods: From May 12th to June 15th 2008 the data of 1410 patients with bone injury in Wenchuan earthquake were analyzed to evaluate clinical intervention and remedy-managing experience.
Results: The 1410 patients average age was from 4 to 103 years old.
Knee Surg Sports Traumatol Arthrosc
February 1996
Department of Surgery, Wedel Regional Hospital, Germany.
Case reports of gas gangrene following arthroscopy using instruments sterilised with glutaraldehyde demonstrate the inadequacy of this sterilisation method. A safer way to achieve sterility is to combine gas-sterilised arthroscopes and a non-sterile camera covered with a sterile drape. Several different types of camera drapes are available; their different safety aspects are discussed.
View Article and Find Full Text PDFRev Chir Orthop Reparatrice Appar Mot
February 1991
Service de Chirurgie Orthopédique, Hôpital Ambroise Paré, Faculté de Médecine Paris-Ouest, Boulogne.
The authors report 32 cases of post-operative infections reoperated before the first month of which 12 articular fractures of the tibia. 6 tibial osteotomies of valgisation, 6 tibial diaphyseal fractures, 2 fractures of the lower extremity of the femur, 2 bimalleolar fractures, 1 serious knee sprain, 1 patellar fracture, 1 calcaneum fracture and an arthroscopic arthrolysis of the knee. Twelve of them had an articular infection.
View Article and Find Full Text PDFArthroscopy
June 1989
Department of Surgery, Technical University of Munich, Federal Republic of Germany.
An arthroscopic anterior cruciate ligament repair was followed by gas-gangrene and the development of a compartment syndrome. Treatment consisted of extensive fasciotomy, debridement, and antibiotic therapy with penicillin G, cefotiam, and metronidazole. The patient was also treated with five sessions of hyperbaric oxygen in a pressure chamber for a duration of 2 h per session.
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