[Infection of a total knee prosthesis revealed by an abscess of the posterior leg compartment. A case report].
We report a case of infection of a non-cemented total knee prosthesis that led to abscess formation in the posterior compartment of the leg. This case illustrates the deleterious effect of screws used to fix the non-cemented articular surface of the tibia. Infection, like osteolysis due to polyethylene granuloma, can develop along the screw tract and reach the posterior compartment, especially when the screw protrudes through the posterior cortical of the tibia. Diffusion of an intra-articular event into the posterior compartment should be suspected in patients with a total knee prosthesis who experience calf pain.
Duranthon
L D
LD
Service d'Orthopédie Traumatologie, Hôpital Européen Georges Pompidou, 20, rue Leblanc, 75908 Paris Cedex 15.
Baaklini
M
M
Grimberg
J
J
Vandenbussche
E
E
Augereau
B
B
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001863:Bone Screws / Q000009:adverse effects*; D003161:Compartment Syndromes / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004322:Drainage; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D020959:Polyethylene / Q000009:adverse effects; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D020959:Polyethylene