She Guo Rong, Chen Jun Yuan, Zhou Zi Qi, Zha Zhen Gang, Liu Ning
Department of Bone and Joint Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Department of Radiation Therapy, Peking Union Medical College Hospital, Beijing, 100730, China.
Int J Surg Case Rep. 2017;30:134-137. doi: 10.1016/j.ijscr.2016.12.003. Epub 2016 Dec 9.
Pyoderma gangrenosum is a rare inflammatory aseptic, ulcerative neutrophilic dermatosis which manifest as skin recurrent, painful ulcers.
A 65-year-old man with pyoderma gangrenosum underwent left total hip arthroplasty because of femoral neck fractures. Glucocorticoid, antibiotic, anticoagulant drug, etc. were given in perioperative period. Complication of pyoderma gangrenosum was prevented successfully in perioperative period.
No consensus has been reached about whether to use glucocorticoid, as well as the dosage and administration, in perioperative periods for pyoderma gangrenosum patients as prophylactic means of wound complication.
We herein report a case of pyoderma gangrenosum patient underwent total hip arthroplasty, meanwhile raise the issue of management in perioperative period for pyoderma gangrenosum patient, especially explore series of standardized therapies for this disease during arthroplasty.
坏疽性脓皮病是一种罕见的炎症性无菌性溃疡性中性粒细胞性皮肤病，表现为皮肤反复出现的疼痛性溃疡。
一名65岁患有坏疽性脓皮病的男性因股骨颈骨折接受了左全髋关节置换术。围手术期给予了糖皮质激素、抗生素、抗凝药物等。围手术期成功预防了坏疽性脓皮病的并发症。
对于坏疽性脓皮病患者在围手术期是否使用糖皮质激素以及剂量和给药方式作为伤口并发症的预防手段，尚未达成共识。
我们在此报告一例坏疽性脓皮病患者接受全髋关节置换术的病例，同时提出坏疽性脓皮病患者围手术期的管理问题，特别是探索该疾病在关节置换术中的一系列标准化治疗方法。
