Postoperative wound breakdown caused by pyoderma gangrenosum after bilateral simultaneous total knee arthroplasty.
Pyoderma gangrenosum is a noninfective necrosis of dermal tissues. Rarely, it occurs after surgery or trauma. However, lack of awareness and its striking similarity to a clinical picture of sepsis usually delay diagnosis and initiation of the correct management. We describe a unique case of its occurrence in both surgical wounds after bilateral total knee arthroplasty and discuss the differential diagnoses and management.
Wadia
Farukh
F
Centre for Hip Surgery, Wrightington Hospital, Hall Lane, Wigan.
Malik
Mohammad Hammad A
MH
Porter
Matyn L
ML
D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D017511:Pyoderma Gangrenosum / Q000175:diagnosis*; D013530:Surgical Wound Infection / Q000175:diagnosis