Yeo Cheng Hong, Russell Nick C, Sharpe Tom
The Orthopaedics Department, Toowoomba Base Hospital The Queen Elizabeth Hospital, Perchey Street, Toowoomba QLD 4350, Australia.
Case Rep Orthop. 2012;2012:381490. doi: 10.1155/2012/381490. Epub 2012 Oct 9.
We are reporting a case of nonabsorbable suture-induced osteomyelitis in patient who had an open rotator cuff repair with nonabsorbable Ethibond anchor suture. Patient in this case presented with very subtle clinical features of osteomyelitis of the left proximal humerus 15 years after initial rotator cuff repair surgery. Literature had shown that deep infection following rotator cuff repairs, although rare, can be easily missed and can cause severe complications. Absorbable suture had been demonstrated to be more superior, in terms of rate of deep infection, as compared to nonabsorbable suture when used in rotator cuff repair surgery. Both absorbable and nonabsorbable suture had been demonstrated to have similar mechanical properties by several different studies. The case demonstrated that initial presentation of deep infection can be subtle and easily missed by clinicians and leads to further complications.
我们报告了一例不可吸收缝线引起的骨髓炎病例，该患者接受了使用不可吸收Ethibond锚定缝线的开放性肩袖修补术。该病例中的患者在初次肩袖修复手术后15年出现了非常轻微的左肱骨近端骨髓炎临床特征。文献表明，肩袖修复术后的深部感染虽然罕见，但很容易被漏诊，并且会导致严重并发症。在肩袖修复手术中使用时，与不可吸收缝线相比，可吸收缝线在深部感染发生率方面已被证明更具优势。几项不同的研究表明，可吸收和不可吸收缝线都具有相似的力学性能。该病例表明，深部感染的初始表现可能很轻微，临床医生很容易漏诊，并导致进一步的并发症。
