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 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.
Pearle
Andrew D
AD
The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. apearle@nyc.rr.com
Bates
James E
JE
Tolo
Eric T
ET
Windsor
Russell E
RE
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001175:Arthrography; D019645:Arthroplasty, Replacement, Knee; D001858:Bone Nails; D016025:Bone Transplantation / Q000009:adverse effects*; D003015:Clostridium Infections / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D003646:Debridement; D020878:Device Removal; D006801:Humans; D007717:Knee / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D019736:Prostheses and Implants; D012086:Reoperation; D013710:Tendons / Q000637:transplantation*; D016378:Tissue Transplantation / Q000009:adverse effects; D014184:Transplantation, Homologous
D000900:Anti-Bacterial Agents