Table 2.
Cases of infection
Case | Age | M/F | Co-morbidities | Injury | Open/close | AO | Days to OT | Full weight bearing(wk) | Bony union (wk) | FU/ mth | Implant problem | Onset of infection/ mth | Organism | Remarks | R/O(mth) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4 | 55 | F | S/F | Close | 42A1 | 7 | 8 | 20 | 36 | Nil | 6 | No culture | Treated with oral antibiotics | 14 | |
8 | 47 | M | RTA (Crush) | Open IIIB | 42-B2 | 1 | 28 | 44 | 27 | Broken screws | Acute | Aeromonas hydrophila | Acute wound infection, Debridement + skin graft on D10 | No | |
10 | 30 | M | Chronic drinker | Fell from height | Close | 43-C2 | 11 | 8 | 12 | 24 | Nil | 6 | MSSA | Infected implant with subcutaneous abscess, treated with incision and drainage | 6 |
13 | 43 | M | RTA (high energy) | Close | 42-B1 | 3 | 8 | 20 | 22 | Nil | 12 | No culture | Treated with oral antibiotics | 14 | |
20 | 51 | M | HT, old TB, varicosities | S/F | Close | 42-B1 | 3 | 8 | 16 | 18 | Nil | 2 | MSSA | Delay subcutaneous abscess treated with incision and drainage. | 16 |
44 | 87 | F | Right DHS 98; Left AMA 06 | S/F | Close | 42-A2 | 5 | 12 | 16 | 6 | Impingement | 4 | MRSA | Delay deep wound infection requiring immediate removal | 4 |
47 | 43 | M | RTA (high energy) | Open I | 42-B2 | 0 | 8 | 15 | 6 | Nil | 2 | No culture | Treated with oral antibiotics | No |
DHS dynamic hip screw, AMA Austin Moore arthroplasty, RTA road traffic accident, S/F slipped and fell, MSSA methicillin sensitive Staphylococcus aureus, MRSA methicillin resistant Staphylococcus aureus, R/O removal