Artroskopik rotator manşet onarımı sonrası proksimal humerusun psödomonas osteomiyeliti

Yıl 2014, Cilt: 48 Sayı: 6, 685 - 689, 16.01.2015

Nuri Aydin Evrim Sirin Ahmet Nadir Aydemir Gokhan Zengin

https://doi.org/10.3944/AOTT.2014.13.0015

Öz

Artroskopik rotator manşet onarımı yapılan 59 yaşında erkek hastaya cerrahi sonrası erken dönemde gelişen Psödomonas aeruginosa enfeksiyonu nedeniyle artroskopik debridman ve antibiyoterapi yapıldı. Takip kontrollerine devam etmeyen hasta 2 yıl sonra proksimal humerusta P. aeruginosa osteomiyeliti tablosuyla tekrar başvurdu. Hastaya açık debridman yapıldı ve ölü boşluk antibiyotik emdirilmiş çimento boncuklarıyla dolduruldu. Altı hafta sonra boncuklar çıkartıldı. Hastanın cerrahi sonrası 2. yıl takibinde enfeksiyon bulgusuna rastlanmadı. Olgumuz, literatürde artroskopik rotator manşet onarımı sonrası P. aeruginosa osteomiyeliti olarak bildirilen ilk olgudur.

Anahtar Kelimeler

Enfeksiyon; omuz artroskopisi; osteomiyelit.

Pseudomonas osteomyelitis of the proximal humerus after arthroscopic rotator cuff repair

Öz

A 59-year-old male patient was operated arthroscopically due to a rotator cuff tear. An early postoperative Pseudomonas aeruginosa infection was treated with early arthroscopic debridement and antibiotic therapy. The patient was lost to follow-up and presented to our clinic with Pseudomonas aeruginosa osteomyelitis after two years. Debridement was again performed and antibiotic-impregnated cement beads were filled into the cavity and taken out 6 weeks postoperatively. No findings of infection were observed at the patient’s 2nd year follow-up. To our knowledge, this is the first case of Pseudomonas aeruginosa osteomyelitis of the shoulder after arthroscopic rotator cuff repair.

Anahtar Kelimeler

Infection, osteomyelitis, shoulder arthroscopy

Kaynakça

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