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一例脓肿形成后植入骨移位的病例报告。

A case report of implanted bone displacement after abscess formation.

作者信息

Chen Xiao Qi, Ma Shu Ping, Li Yue Han, Xu Shi Hang

机构信息

Xiang'an Hospital of Xiamen University, Xiamen, China.

Children's Hospital of Chongqing Medical University, Chongqing, China.

出版信息

Medicine (Baltimore). 2025 Apr 25;104(17):e42241. doi: 10.1097/MD.0000000000042241.

Abstract

RATIONALE

Implanted bone is a commonly used filling material for bone defects, participating in the formation of new bone. Complications associated with implanted bone include nonunion, infection, etc. Few cases of implanted bone displacement through gravitational abscesses have been reported in the literature. This article aims to improve clinicians' recognition of this phenomenon and discuss preventive measures and treatment strategies for implant-associated infections.

PATIENT CONCERNS

A 7-year-old female patient was admitted to the hospital due to recurrent purulent fluid discharge from the incision site for 3 months following a right hip surgery 4 months ago. Wound secretion culture revealed a methicillin-resistant Staphylococcus aureus infection. The imaging before the first debridement in the external hospital showed that there were 2 high-density shadows around the right femoral greater trochanter, which were implanted bone.

DIAGNOSES

Implant-related infection and chronic osteomyelitis.

INTERVENTIONS

The implant and inflammatory lesions were removed through multiple surgeries and anti-infection treatment.

OUTCOMES

After 6 months of follow-up, there was no sign of infection in the wound.

LESSONS

It is rare-reported that implanted bone displacement is caused by factors such as abscess formation. Treatment and understanding of implanted bone around the greater trochanter of the right femur is important. Early recognition and surgical removal of displaced implanted bone play a crucial role in infection control and disease prognosis.

摘要

理论依据

植入骨是治疗骨缺损常用的填充材料,参与新骨形成。植入骨相关并发症包括骨不连、感染等。文献中鲜有植入骨因重力性脓肿导致移位的病例报道。本文旨在提高临床医生对该现象的认识,并探讨植入物相关感染的预防措施及治疗策略。

患者情况

一名7岁女性患者,4个月前因右髋关节手术,术后3个月切口部位反复有脓性分泌物而入院。伤口分泌物培养显示耐甲氧西林金黄色葡萄球菌感染。在外院首次清创术前的影像学检查显示右股骨大转子周围有2个高密度影,为植入骨。

诊断

植入物相关感染和慢性骨髓炎。

干预措施

通过多次手术及抗感染治疗,去除植入物及炎性病灶。

结果

随访6个月,伤口无感染迹象。

经验教训

植入骨因脓肿形成等因素导致移位的情况鲜有报道。对右股骨大转子周围植入骨的治疗和认识很重要。早期识别并手术取出移位的植入骨对控制感染及疾病预后起关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09f3/12040041/5d29da056612/medi-104-e42241-g001.jpg

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