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Related Experiment Videos

Hip surgery skin cellulitis.

C Mainetti1, P Bernard, J H Saurat

  • 1Clinique de Dermatologie, Hôpital Cantonal Universitaire, Geneva, Switzerland.

The European Journal of Medicine
|April 1, 1992
PubMed
Summary
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Localized buttock and hip erysipelas/cellulitis is rare, often occurring after hip surgery. Surgical compromise of circulation may be the cause, but antibiotics effectively treat these infections.

Area of Science:

  • Dermatology
  • Orthopedic Surgery
  • Infectious Diseases

Background:

  • Erysipelas/cellulitis are common skin infections.
  • Localized infections of the buttock and hip are infrequent.
  • Hip surgery, particularly dynamic hip screw (DHS) implantation, is a common orthopedic procedure.

Purpose of the Study:

  • To investigate the incidence and potential causes of erysipelas/cellulitis localized to the buttock and hip.
  • To determine the relationship between hip surgery and these localized skin infections.
  • To evaluate the treatment outcomes for such cases.

Main Methods:

  • Retrospective review of erysipelas/cellulitis cases over a 10-year period.
  • Identification of cases localized to the buttock and hip.

Related Experiment Videos

  • Analysis of patient history, particularly prior orthopedic procedures and infection onset timing.

    • Main Results:

    • Six out of 583 (1.04%) erysipelas/cellulitis cases were localized to the buttock and hip.
    • Five of these patients had previously undergone dynamic hip screw implantation for coxarthritis.
    • Infections occurred weeks to months after surgery, suggesting a non-superinfection cause.
    • Venous/lymphatic circulation compromise due to surgery is the suspected etiology.
    • All patients responded well to systemic antibiotic therapy.
    • No recurrences were observed during a mean follow-up of 28 months.

    Conclusions:

    • Localized erysipelas/cellulitis of the buttock and hip is a rare complication, potentially linked to prior hip surgery.
    • Compromised local circulation following dynamic hip screw placement may predispose to these infections.
    • Systemic antibiotics are effective in treating these infections, with good long-term outcomes.