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- Title
Use of a silver-coated plate to treat a postoperative infection after high tibial osteotomy – a case report.
- Authors
Burchard, Rene; Graw, Jan A.
- Abstract
Unilateral osteoarthritis of the knee can be treated by osteotomy. In case of postoperative infection after high tibial osteotomy, treatment can be challenging and often requires implant removal with the risk of loss of reduction. In the presented case, a 47-year old patient suffered postoperative infection after high tibial osteotomy using an angular stable plate with the need for multiple revision surgeries and anti-infective therapy. Implant exchange to a silver-coated angular plate led to infection control with undisturbed wound healing and further bone consolidation. Full bone consolidation could be achieved radiographically 12 months after the last revision surgery. One-step implant exchange using silver-coated implants could be a promising approach to address postoperative infections after high tibial osteotomy.
- Subjects
TIBIA surgery; WOUND healing; POSTOPERATIVE care; WEIGHT-bearing (Orthopedics); PROSTHETICS; ANTIBIOTICS; BONE regeneration; CEFUROXIME; CLAVULANIC acid; AMPICILLIN; STAPHYLOCOCCUS aureus; AMOXICILLIN; TREATMENT effectiveness; OSTEOTOMY; SILVER; REOPERATION; BACTERICIDES; COMBINED modality therapy; SURGICAL site infections; C-reactive protein; RIFAMPIN
- Publication
Journal of Bone & Joint Infection (JBJI), 2024, Vol 9, Issue 2, p117
- ISSN
2206-3552
- Publication type
Article
- DOI
10.5194/jbji-9-117-2024