Aydın Nuri, Şirin Evrim, Aydemir Ahmet Nadir, Zengin Gökhan
Department of Orthopedics and Traumatology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey.
Department of Orthopedics and Traumatology, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
Acta Orthop Traumatol Turc. 2014;48(6):685-9. doi: 10.3944/AOTT.2014.13.0015.
A 59-year-old male patient was operated arthroscopically due to a rotator cuff tear. An early postoperative Pseudomonas aeruginosa infection was treated with early arthroscopic debridement and antibiotic therapy. The patient was lost to follow-up and presented to our clinic with Pseudomonas aeruginosa osteomyelitis after two years. Debridement was again performed and antibiotic-impregnated cement beads were filled into the cavity and taken out 6 weeks postoperatively. No findings of infection were observed at the patient's 2nd year follow-up. To our knowledge, this is the first case of Pseudomonas aeruginosa osteomyelitis of the shoulder after arthroscopic rotator cuff repair.
一名59岁男性患者因肩袖撕裂接受了关节镜手术。术后早期发生铜绿假单胞菌感染，通过早期关节镜清创和抗生素治疗。患者失访，两年后因铜绿假单胞菌骨髓炎前来我院就诊。再次进行清创，并将含抗生素的骨水泥珠填充到腔内，术后6周取出。患者术后第2年随访未发现感染迹象。据我们所知，这是关节镜下肩袖修复术后发生铜绿假单胞菌性肩关节骨髓炎的首例病例。
