Aloarthroplastic surgery infection: A case report

In orthopedic reconstructive surgery infection is a fatal complication which compromises not only the functional result and worsens the starting, initial state, but sometimes, endangers the patient's life, especially when it is an elder person. The aim of this work to assess of the importance some factors (characteristics of the cases and medical praxis) for bone infections appearance. We report the case of a 67-year-old man who with fever (39°C), and pain on his left hip and left leg, and left handly and right elbow joint, hospitalized at Clinic of Infectious Diseases. Anamnesis vitae: hip (Implantatio endoprosthesis totalis coxae sin. sec. Muller) 5 years ago. At Centre for Orthopedic Surgery and Traumatology diagnosed: Status post implantationem PTC lat. sin. Infection periprotetica coxae lat. sin. Sepsis. CRI gradus I/II. Hypertensio arterialis. In the course of operation (Extirpatio corporis alieni - Extractio endoprosthesis, Drainage et curetage), the purulent substance abundantly was poor out (500 ml). Cultures from joint aspiration and tissue specimen in the course of the operation was sterile. A case discharched after 61 days of the hospital stay, with diagnosis: St. post implantationem PTC lat. sin., Osteomyelitis femoris let. sin., Extirpatio PTC lat. sin. Infection occurs as a result of a bacteremia, an inoculation during aseptic or orthopedic surgery, or a contiguous infectious focus. Persistent and relapsing infection may be due to three situations: underlying conditions such as commorbidities, presence of foreign surgical implant, and a causative bacterial strain. In the conclusion it may be pointed out that the infections in orthopedic surgery cannot be achieved if all mechanisms and factors which affect it are not known.