Treatment of Spinal Infection Following Bilateral Total Knee Replacement Postoperative Infection

Bum-Jin Shim; Oog-Jin Sohn; Chang-Woo Cho

doi:10.4055/jkoa.2017.52.1.92

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Shim, Sohn, and Cho: Treatment of Spinal Infection Following Bilateral Total Knee Replacement Postoperative Infection

Case Report

Journal of the Korean Orthopaedic Association 2017; 52(1): 92-96.

Published online: 16 February 2017

DOI: https://doi.org/10.4055/jkoa.2017.52.1.92

Treatment of Spinal Infection Following Bilateral Total Knee Replacement Postoperative Infection

Bum-Jin Shim, M.D., Oog-Jin Sohn, M.D., Chang-Woo Cho, M.D.

Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea.

Correspondence to: Bum-Jin Shim, M.D. Department of Orthopedic Surgery, Yeungnam University Hospital, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea. TEL: +82-53-620-3640, FAX: +82-53-628-4020, bumjinshim@gmail.com

Received 12 March 2016 Revised 31 July 2016 Accepted 24 September 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Postoperative infection from total knee arthroplasty (TKA) is an issue drawing great attention, which can manifest as a local or general infection. Its development into sepsis has also occasionally been reported. Such sepsis is a critical complication that can spread to various parts of the body, which can ultimately lead to mortality. However, the cases where infection has spread to the spine do not have clear clinical signs, making diagnosis difficult. These cases are not found in the literature. Therefore, this is a case study on both postoperative infection from TKA that has developed into sepsis and spread to the spine.

Keywords: total knee arthroplasty, spinal infection, paraplegia

Figures and Tables

Figure 1

Preoperative radiographs.

Figure 2

First postoperative radiographs; device removal and anti-mixed cement insertion.

Figure 3

Second postoperative radiographs; prosthesis with antibiotic-loaded acrylic cement (PROSTALAC) implantation.

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

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