Abstract
Treatment of early chronic infections with tumor prosthesis by intermittent negative pressure wound therapy with instillation
Highlights
Vacuum-assisted closure (VAC) has been used to manage nearly every type of wound seen in orthopedic field including early prosthetic hip and knee infections
We aimed to present our treatment results of two patients with total and proximal femur mega prosthesis respectively
The cultures of the sponges were negative. His sponges were removed again and the week after primary closure was done. His inflammatory markers decreased to normal values {C-reactive protein (CRP) was 0,6mg/dL and erythrocyte sedimentation rate (ESR) was 15mm/h}
Summary
Vacuum-assisted closure (VAC) has been used to manage nearly every type of wound seen in orthopedic field including early prosthetic hip and knee infections. His sponges were removed again and the week after primary closure was done His inflammatory markers decreased to normal values {C-reactive protein (CRP) was 0,6mg/dL and erythrocyte sedimentation rate (ESR) was 15mm/h}. The patient was 41-year-old, male with a diagnosis of giant chondrosarcoma of the pelvis and femur He had undergone a hemiarthroplasty of his right hip due to a low energy trauma three years ago in another orthopedics and traumatology center which we presumed to be due to a pathological fracture. His MRI of the pelvis and thigh revealed a lobular, heterogenic and hypo intense huge mass starting from the trochanteric area to the shaft of the femur in T1 weighted images His biopsy revealed chondrosarcoma and limb sparing surgery but with the possibility of external hemipelvectomy was offered to the patient, whom lost to follow up. She is well with no signs of infection with 10 months postoperatively
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