Hemiarthroplasty in a patient with femoral neck fracture and pyoderma gangrenosum: a case report and review of the literature.
Background: Pyoderma gangrenosum is a rare ulcerating skin disease of unknown etiology, making its coincidence with orthopedic trauma a rare challenge. Patients are at risk of progression of the existing lesions and development of new lesions upon skin injury when surgical procedures are performed....
| Publicado en: | Journal of Medical Case Reports Vol. 14; no. 1; pp. 1 - 5 |
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| Autores principales: | , , , |
| Formato: | case study review Journal Article |
| Publicado: |
BioMed Central
1/14/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141191695&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141191695 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17521947 8X8Q jtl: Journal of Medical Case Reports issn: 17521947 maglogo: N pubinfo: dt: 1/14/2020 vid: 14 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 141191695 141191695 NLM31931877 141191695 10.1186/s13256-019-2329-8 NLM31931877 141191695 ppf: 1 ppct: 4 formats: tig: atl: Hemiarthroplasty in a patient with femoral neck fracture and pyoderma gangrenosum: a case report and review of the literature. aug: au: Antoni, Anna Trautinger, Franz Heinz, Thomas Hajdu, Stefan affil: Department of Trauma Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria sug: subj: Hemiarthroplasty Rehabilitation Pyoderma Gangrenosum Surgery Wound Healing Hip Fractures Surgery Perioperative Care Methods Middle Age Female Clinical Assessment Tools Middle Aged: 45-64 years Female ab: Background: Pyoderma gangrenosum is a rare ulcerating skin disease of unknown etiology, making its coincidence with orthopedic trauma a rare challenge. Patients are at risk of progression of the existing lesions and development of new lesions upon skin injury when surgical procedures are performed. To our knowledge, this is the first report in the literature of disease unrelated surgery during active pyoderma gangrenosum.Case Presentation: We present a case of femoral neck fracture in a Caucasian patient with concurrent pyoderma gangrenosum localized in the axilla. Hemiarthroplasty was safely performed after disease activity was reduced with systemic corticosteroids. Tissue-protective wound closure was used together with perioperative corticosteroids and antibiotics. No signs of pyoderma gangrenosum developed at the surgical wound site, and the axillary lesions showed constant improvement until healing with scar tissue.Conclusions: In our patient, the preoperative steroid treatment, perioperative antibiotics, and soft tissue protective surgical technique led to successful management of this rare coincidence. pubtype: Academic Journal doctype: case study review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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