Bimalleolar Fracture: Postoperative Periimplant Infection

  • Sintija Skerškāne (Speaker)

Activity: Talk or presentation typesPoster presentation

Description

Ankle fractures are common in geriatric population. Options of ankle fracture treatment are both nonoperative and operative. Most of the reported complications are related to the patient’s medical condition and surgical intervention. In this clinical case, the use of Vishnevsky’s balsamic ointment can be mentioned as the cause of the infectious complication as it contributed to the multiplication of S.aureus in the surgical wound. A 61-year-old male was brought to the admission with complains of pain in the left foot joint after the patient fell while walking. During the examination, a closed bimalleolar fracture of the left leg with dislocation was found, it was decided on operative therapy – osteosynthesis with a plate. The recovery process went smooth and on the fourth day of hospitalization, the patient was discharged for outpatient treatment. One month after the fracture osteosynthesis, patient came to the hospital with recurrent pain in the left foot joint, soft tissue edema, non-healing surgical wounds and discharge from them. S.aureus grew on inoculation of discharge from wounds. Patient, while collecting anamnesis, noted that Vishnevsky’s balsamic ointment was additionally used when caring for postoperative wounds at home. Patient was diagnosed with a postoperative peri-implant infection. When treated with antibiotics intravenously, patient's condition did not improve. It was decided to operate and remove the implants after sufficient consolidation of the bone to fight the infection and prevent its further spread. The patient's condition improved, he underwent medical physiotherapy under the supervision of doctors and after 24 days of hospitalization was discharged for further outpatient treatment. Patient made a full recovery. Conclusions: traumatological, orthopaedic patients often have complications involving skin microflora, the most common cause of infection is S.aureus. Patients should be educated about post-operative wound care more.. .. .. .
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational