Clostridium infection in a knee extensor mechanism allograft: case report and review

An unusual case of Clostridium perfringens infection after an allograft reconstruction of an extensor mechanism in a multiply revised total knee arthroplasty is reported. The case occurred in an elderly patient with an underlying bleeding dyscrasia who had previously undergone two revision total kne...

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Veröffentlicht in:	The knee 2003-06, Vol.10 (2), p.149-153
Hauptverfasser:	Pearle, Andrew D., Bates, James E., Tolo, Eric T., Windsor, Russell E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Allograft Anti-Bacterial Agents - administration & dosage Arthrography Arthroplasty, Replacement, Knee Bone Nails Bone Transplantation - adverse effects Clostridium infection Clostridium Infections - drug therapy Clostridium Infections - etiology Clostridium Infections - surgery Debridement Device Removal Humans Knee - diagnostic imaging Knee - surgery Male Prostheses and Implants Reoperation Revision Tendons - transplantation Tissue Transplantation - adverse effects Total knee arthroplasty Transplantation, Homologous
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Beschreibung
Zusammenfassung:	An unusual case of Clostridium perfringens infection after an allograft reconstruction of an extensor mechanism in a multiply revised total knee arthroplasty is reported. The case occurred in an elderly patient with an underlying bleeding dyscrasia who had previously undergone two revision total knee arthroplasties. The patient was treated by open irrigation, debridement, removal of allograft and prosthesis, intravenous antibiotics, and implantation of an antibiotic impregnated cement spacer utilizing an intramedullary rod.
ISSN:	0968-0160 1873-5800
DOI:	10.1016/S0968-0160(02)00091-1