Negative Pressure Wound Therapy in Infected Wound following Posterior Spinal Instrumentation using Simple Self-assembled System: A Case Report

被引：4

作者：

Chang, C. W. ^{[1
]}

Chan, H. Z. ^{[1
]}

Lim, S. W. ^{[1
]}

Khoo, E. H. ^{[1
]}

Zulkiflee, O. ^{[1
]}

机构：

[1] Penang Gen Hosp, Dept Orthopaed, George Town, Malaysia

来源：

MALAYSIAN ORTHOPAEDIC JOURNAL | 2014年 / 8卷 / 02期

关键词：

vacuum assisted closure; infection; instrumentation; spine;

D O I：

10.5704/MOJ.1407.004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Postoperative wound infection in an instrumented spine patient is often disastrous. Management includes implant removal leading to spine instability. Negative pressure wound therapy (NPWT) applied to the spine surgical wound is one of the wound care technique with successful results. We report a case of a man who sustained Chance fracture of Lumbar 1 (L1) vertebra treated with long segment posterior instrumentation, who unfortunately developed Extended-spectrum beta-lactamase (ESBL) positive E. coli infection one month after the operation. After careful debridement of the wound, the implant became exposed. Three cycles of NPWT were applied and the wound healed with granulation tissue completely covering the implant, and thus negating the need to remove the implant. In conclusion, the NPWT is a good alternative in postoperative wound management especially in an instrumented spine patient.

引用

页码：49 / 51

页数：3