Infected prosthesis of the right knee: what to do?

Good morning, my name is Paola and I am 51.

On June 2015 I had the total surgery of the right knee; the patient’s post-operative went ok but my knee has always been painful and unstable. On August 2016 I suddenly had an infection caused by Staphylococcus aureus. I immediately started the aimed antibiotic therapy and I had the surgery to have my prosthesis cleaned.

During the operation I had several samples, which turned out to be negative (without bacteria). I continued to have blood tests and the values were more and more in the normal range (PCR dropped from 5.60 to 1.05).

Then I went to Milan (November 2016) for a consultation and I was recommended to stop taking the antibiotic and to see if the infection would start again. If that is the case, I would be put on a waiting list to be submitted to a removal and biodata spacer positioning.

I also want to point out that I have been splenectomised.

Thank you very much for the time you will spend for replying to my letter.

One comment on “Infected prosthesis of the right knee: what to do?

  1. Andrea Galvani on

    Dear Mrs. Paola,
    Thank you for writing us.

    In case of evident infection of the prosthesis (physical examination, clinical presentation, indices of inflammation, positive radiology imaging), the multi-specialist pathway that is normally set for the patient is the following:
    – The orthopaedic evaluates and sets the most appropriate surgical option (where indicated).
    – The ID specialist prescribes the most effective antibiotic therapy.
    – The hyperbaric doctor (after the surgical revision of the prosthesis and planning of the adequate antibiotic treatment by the ID specialist) prescribes the most appropriate protocol with HBOT (normally 20/30 daily sessions of 90 minutes at 2.5/2.2 ATA for 5 days per week).

    If you desire, you can send us the documents by email at our email address: scrivici@iperbaricoravenna.it.

    After consulting them, we will certainly give you more precise and detailed information.
    Good luck!
    Dr. Andrea Galvani
    Degree in Medicine and Surgery of the University of Bologna, Subscribed to the Medical Council of Rimini, Number 02337

    Reply

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