Use of a silver-coated plate to treat a postoperative infection after high tibial osteotomy - a case report

Unilateral osteoarthritis of the knee can be treated by osteotomy. In case of postoperative infection after high tibial osteotomy, treatment can be challenging and often requires implant removal with the risk of loss of reduction. In the presented case, a 47-year old patient suffered postoperative i...

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Bibliographic Details
Published in:Journal of bone and joint infection 2024-03, Vol.9 (2), p.117-119
Main Authors: Burchard, Rene, Graw, Jan A
Format: Article
Language:English
Subjects:
Case Report
Health aspects
Infection
Infection control
Osteoarthritis
Osteotomy
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Summary:Unilateral osteoarthritis of the knee can be treated by osteotomy. In case of postoperative infection after high tibial osteotomy, treatment can be challenging and often requires implant removal with the risk of loss of reduction. In the presented case, a 47-year old patient suffered postoperative infection after high tibial osteotomy using an angular stable plate with the need for multiple revision surgeries and anti-infective therapy. Implant exchange to a silver-coated angular plate led to infection control with undisturbed wound healing and further bone consolidation. Full bone consolidation could be achieved radiographically 12 months after the last revision surgery. One-step implant exchange using silver-coated implants could be a promising approach to address postoperative infections after high tibial osteotomy.
ISSN:2206-3552
2206-3552
DOI:10.5194/jbji-9-117-2024