Burchard Rene, Graw Jan A
University of Marburg, Marburg 35037, Germany.
Department of Orthopaedics and Trauma Surgery, University Hospital of Giessen and Marburg, Marburg 35043, Germany.
J Bone Jt Infect. 2024 Mar 13;9(2):117-119. doi: 10.5194/jbji-9-117-2024. eCollection 2024.
Unilateral osteoarthritis of the knee can be treated by osteotomy. In case of postoperative infection after high tibial osteotomy, treatment can be challenging and often requires implant removal with the risk of loss of reduction. In the presented case, a 47-year old patient suffered postoperative infection after high tibial osteotomy using an angular stable plate with the need for multiple revision surgeries and anti-infective therapy. Implant exchange to a silver-coated angular plate led to infection control with undisturbed wound healing and further bone consolidation. Full bone consolidation could be achieved radiographically 12 months after the last revision surgery. One-step implant exchange using silver-coated implants could be a promising approach to address postoperative infections after high tibial osteotomy.
膝关节单侧骨关节炎可通过截骨术治疗。在高位胫骨截骨术后发生感染的情况下，治疗可能具有挑战性，通常需要取出植入物，存在复位丢失的风险。在本病例中，一名47岁患者在使用角稳定钢板进行高位胫骨截骨术后发生感染，需要多次翻修手术和抗感染治疗。更换为镀银角钢板后感染得到控制，伤口愈合良好，骨进一步愈合。在最后一次翻修手术后12个月，影像学检查显示骨完全愈合。使用镀银植入物进行一步式植入物更换可能是解决高位胫骨截骨术后感染的一种有前景的方法。
