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. 贾素萍. 颌面部蜂窝组织炎402例的临床统计和病因分析[J]. 山西医药杂志·下半月刊, 2007, 36(1): 21-22.
7. 王天雄, 姚一民, 赵福胜, 等. 下肢深静脉血栓形成合并急性蜂窝组织炎1例报告[J]. 实用骨科杂志, 2012, 18(1): 89-90.
8. 圆摇, 周丹, 杜鹃, 等. 妊娠合并重症下肢蜂窝组织炎1例[J]. 中国实用妇科与产妇杂志, 2006, 22(11): 834.
9. 王天霆, 李织, 张红玲, 等. 13例重症口腔颌面部蜂窝组织炎临床分析[J]. 当代医学, 2012, 18(27): 29.
10. 马湖蕊, 辛太合, 张妍, 等. 龙珠软膏外敷治疗下肢急性蜂窝组织炎30例疗效观察[J]. 大家健康·下旬版, 2013, 7(6): 36-36.
11. 姚晓松, 张颖, 陈菲, 等. 超声对早期皮下蜂窝组织炎的诊断价值[J]. 中国临床医学影像杂志, 2010, 21(11): 819-820.
12. 陈吉胜, 孙珊, 陈凯涛. 加味双柏散治疗肢端急性蜂窝组织炎56例[J]. 当代医学, 2010, 16(2): 9.
13. 杜章凤. 爵床粉配芙蓉膏治疗蜂窝组织炎206例[J]. 四川中医, 2000, 18(6): 45.
14. 郭晓波, 赵桂香, 王毅. 血必净合蒲公英外敷治疗急性蜂窝组织炎58例[J]. 中国实验方剂学杂志, 2011, 17(17): 266-268.
15. 范欣芳, 王薇, 黄桂莲. 蒲公英软膏外敷治疗早期急性蜂窝组织炎50例疗效观察[J]. 海南医学, 2010, 21(8): 135-136.

West China Medical Journal

Analysis of Acute Cellulitis of Shank after Total Knee Arthroplasty

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