Analysis of Acute Cellulitis of Shank after Total Knee Arthroplasty_West China Medical Journal

Authors：

 ZHANGHao , LANYu-ping , XUBing

Department of Orthopedics, The Central Hospital of Panzhihua City, Panzhihua, Sichuan 617067, P. R. China;

Corresponding?author：

Keywords：

Total knee arthroplasty; Infection; Acute cellulitis

DOI：

10.7507/1002-0179.20140325

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Objective To summarize the clinical characteristics and treatment of acute cellulitis of shank after total knee arthroplasty. Methods We retrospectively analyzed the clinical data of five patients with delayed acute cellulitis of shank after total knee arthroplasty treated in our hospital between January 2008 and January 2013. The clinical characteristics, treatment and prognosis of the disease were then summarized and analyzed. Results The delayed acute cellulitis of shank after total knee arthroplasty was mainly caused by tinea pedis, which resulted in skin damage and bacteria diffusion. The main clinical manifestations were pain and swelling around the knee joint and shank. The laboratory test found the increasing of C-reactive protein, erythrocyte sedimentation rate, white blood cell and neutrophils. Two cases were caused by hemolytic streptococcus according to blood culture. All patients were discharged after treatment without periprosthetic infection. Conclusion According to the typical clinical manifestations and laboratory test, the diagnosis of delayed acute cellulitis of shank is not difficult. Timely and comprehensive treatment should be emphasized to seek and eradicate the primary lesions, such as tinea pedis, subcutaneous ulcer and carbuncle.

Citation： ZHANGHao, LANYu-ping, XUBing. Analysis of Acute Cellulitis of Shank after Total Knee Arthroplasty. West China Medical Journal, 2014, 29(6): 1060-1062. doi: 10.7507/1002-0179.20140325 Copy

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1. Arnold WV, Shirtliff ME, Stoodley P. Bacterial biofilms and periprosthetic infections[J]. J Bone Joint Surg Am, 2013, 95(24): 2223-2229.
2. Shanmugasundaram S, Riccardi BF, Briggs TW, et al. Evaluation and management of periprosthetic joint infection: an international multicenter study[J]. HSS J, 2014, 10(1): 36-44.
3. Hussain N, Chien T, Hussain F, et al. Simultaneous versus staged bilateral total knee arthroplasty: a meta-analysis evaluating mortality, peri-operative complications and infection rates[J]. HSS J, 2013, 9(1): 50-59.
4. Anagnostakos K, Fürst O, Kelm J. Antibiotic-impregnated PMMA hip spacers: current status[J]. Acta Orthop, 2006, 77(4): 628-637.
5. Yang K, Yeo SJ, Lee BP, et al. Total knee arthroplasty in diabetic patients: a study of 109 consecutive cases[J]. J Arthroplasty, 2001, 16(1): 102-106.
6. 賈素萍. 頜面部蜂窩組織炎402例的臨床統計和病因分析[J]. 山西醫藥雜志·下半月刊, 2007, 36(1): 21-22.
7. 王天雄, 姚一民, 趙福勝, 等. 下肢深靜脈血栓形成合并急性蜂窩組織炎1例報告[J]. 實用骨科雜志, 2012, 18(1): 89-90.
8. 圓搖, 周丹, 杜鵑, 等. 妊娠合并重癥下肢蜂窩組織炎1例[J]. 中國實用婦科與產婦雜志, 2006, 22(11): 834.
9. 王天霆, 李織, 張紅玲, 等. 13例重癥口腔頜面部蜂窩組織炎臨床分析[J]. 當代醫學, 2012, 18(27): 29.
10. 馬湖蕊, 辛太合, 張妍, 等. 龍珠軟膏外敷治療下肢急性蜂窩組織炎30例療效觀察[J]. 大家健康·下旬版, 2013, 7(6): 36-36.
11. 姚曉松, 張穎, 陳菲, 等. 超聲對早期皮下蜂窩組織炎的診斷價值[J]. 中國臨床醫學影像雜志, 2010, 21(11): 819-820.
12. 陳吉勝, 孫珊, 陳凱濤. 加味雙柏散治療肢端急性蜂窩組織炎56例[J]. 當代醫學, 2010, 16(2): 9.
13. 杜章鳳. 爵床粉配芙蓉膏治療蜂窩組織炎206例[J]. 四川中醫, 2000, 18(6): 45.
14. 郭曉波, 趙桂香, 王毅. 血必凈合蒲公英外敷治療急性蜂窩組織炎58例[J]. 中國實驗方劑學雜志, 2011, 17(17): 266-268.
15. 范欣芳, 王薇, 黃桂蓮. 蒲公英軟膏外敷治療早期急性蜂窩組織炎50例療效觀察[J]. 海南醫學, 2010, 21(8): 135-136.

West China Medical Journal

Analysis of Acute Cellulitis of Shank after Total Knee Arthroplasty

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