Baylor Scott & White Orthopedics, Round Rock, Texas.
Division of Orthopaedics and, Division of Plastic Surgery, Department of Surgery, Southern Illinois University, Springfield, Illinois.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0306. doi: 10.2106/JBJS.CC.18.00306.
A 61-year-old woman with left shoulder osteoarthritis underwent a left shoulder hemiarthroplasty. The wound was closed using the Dermabond Prineo system. The patient had a severe and progressive reaction during the first 2 weeks that necessitated debridement and skin grafting. Three months after surgery, the patient was doing well.
Severe reactions to 2-octyl cyanoacrylate are uncommon. The severity of the presented reaction is rare. However, surgeons using this closure method should be aware of potential reactions that may initially mimic infection. It is important to initiate appropriate treatment including removing the dressing, topical steroids, and/or oral antihistamines, antibiotics, and possible surgical wound debridement.
一名 61 岁女性因左侧肩关节骨关节炎行左侧肩关节半髋关节成形术。使用 Dermabond Prineo 系统闭合伤口。患者在最初的 2 周内出现严重且进行性的反应，需要清创和植皮。手术后 3 个月，患者情况良好。
对 2-辛基氰基丙烯酸酯的严重反应并不常见。所呈现的反应的严重程度较为罕见。然而，使用这种闭合方法的外科医生应该意识到潜在的反应，这些反应最初可能类似于感染。重要的是要开始适当的治疗，包括去除敷料、局部类固醇和/或口服抗组胺药、抗生素以及可能的手术伤口清创。
