Before the Spring Festival, a special patient was seen:
Middle-aged female patient, exotic, admitted for a week with high fever after reoperation for a left patella fracture 2 months after internal fixation
She had no history of hypertension or diabetes mellitus and was in good health:
On admission: body temperature 39°C, generalized swelling, pale skin, severe anemia, bone cement covering the knee, pus all over the bottom
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Here, it’s a bit hard to see why the wound was closed with bone cement, which is full of pus?
Shared prep:
Infection after internal fixation of patella fracture, two months n surgery n infection, is the bone still useful?
After three weeks of preparation, the wound granulation is red and the two secretion cultures are negative:
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Four eggs per day, hemoglobin and albumin are back to normal:
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After spring break, he was transferred to joint surgery and underwent a four-hour repair and reconstruction procedure:
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Conclusion:The main point of local infection control is closed negative pressure drainage, early is to change the dressing every other day; the second point of secretion Culture is MASA, give vancomycin; the third point of high protein diet, not less than four eggs per day; 4. multidisciplinary cooperation, I am good at using negative pressure drainage to control infection, will not be this kind of reconstruction, transferred to joint surgery, achieved a perfect closing.
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