Post-surgical infection: Gianfranco asks for some advice

Dear Doctor,

My mother is 72 years old and in July 2016 she undertook a surgery with a prosthesis and subsequent rehabilitation, following a tibial plateau fracture.

After the rehabilitation, my mother continued to perceive pain (no temperature) and some liquid continued to leak out of a hole (former stitch).

After speaking with the surgeon who operated her, he prescribed her 3 months of antibiotic therapy with weak results.

After ending the antibiotic therapy and observing that there was no infection, the surgeon, who made the liquid analysed, decided together with us to remove the fixation devices, due to the continuous pain.

Two months later, the problem arose again. She underwent x-rays that detected an irregular bone calcification. This was irrelevant according to the doctors and they postponed the visit of 6 months.

At that point, we decided to speak to another doctor, who after the visit recommended us to immediately undergo a bone scintigraphy with marked leucocytes. The diagnosis was the following: “collection intensity in the fracture site. It tends to increase in the late survey and makes think about an infectious logistic process. It is advisable, after the expert’s advice, to undergo medical therapy and follow up after nearly 6 months”. We have been waiting for their reply, but we would like to receive your opinion as well.

I have read your blog and it is very helpful and clear.

Best regards and thank you in advance for your reply.

My best wishes for your work.

One comment on “Post-surgical infection: Gianfranco asks for some advice

  1. Andrea Galvani on

    Good morning Gianfranco,
    Thank you for writing us.

    Considering your clinical picture, it would be appropriate to see your medical reports and in particular the x-ray images available; therefore if you want you can send us them to the following email address:

    In very general terms, I must inform you that the protocol used at our Centre for similar cases expects a multidisciplinary approach that includes:
    – Orthopaedic evaluation to understand how to heal the wound
    – Infectious evaluation to decide the most appropriate antibiotic therapy
    – Hyperbaric therapy (20-30 sessions at 2.5 ATA: each session lasts 90 minutes and it is one day per week)
    – Physiatrist evaluation of all the rehabilitative aspects
    In case of need, please do not hesitate to contact us by phone at the number + 39 0544 500152

    Good luck,
    Andrea Galvani
    Degree in Medicine and Surgery at the University of Bologna
    Subscribed to the Medical Council of Rimini, Number 02337


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