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Delayed deep wound sepsis five years after hip-nailing: A case report
Clinical Orthopaedics and Related Research
|July 1, 1981
Summary
Foreign body removal and antibiotics successfully treated a late infection following hip fracture surgery. Imaging like sinograms are crucial for identifying the infection source and path.
Area of Science:
- Orthopedic surgery
- Infectious disease
Background:
- Intracapsular hip fractures often require surgical intervention with implants.
- Late-onset infections can occur years after orthopedic procedures.
Observation:
- A 66-year-old male presented with a deep infection five years post-hip fracture surgery.
- The infection was located in the lower Hunter's canal region.
Findings:
- Surgical removal of a foreign body and abscess debridement were key to treatment.
- Appropriate antibiotic therapy was essential for resolving the infection.
- Sinography proved effective in visualizing the extent and origin of the infectious process.
Implications:
- This case highlights the importance of considering late infections after hip fracture repair.
- Prompt diagnosis and intervention, including imaging, are crucial for successful management.
- Foreign material can serve as a nidus for infection long after implantation.