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Sýking í gervilið í hné eftir endurteknar liðástungur

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Authors
Eyþór Örn Jónsson
Hera Jóhannesdóttir
Anna Stefánsdóttir
Issue Date
2016-09

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Other Titles
Infection of a total knee replacement following repeated joint aspiration – a case report
Citation
Læknablaðið 2016, 102(9): 393-6
Abstract
Áttræður karlmaður fékk sýkingu í gervilið í hné eftir endurteknar lið- ástungur. Stungið var á liðnum vegna liðblæðinga í kjölfar áverka á sin fjórhöfðavöðva læris (m. quadriceps femoris) en sá áverki greindist þó ekki í upphafi. Til að uppræta sýkinguna reyndist nauðsynlegt að framkvæma staurliðsaðgerð. Tilfellið undirstrikar að gerviliðir eru næmir fyrir sýkingum. Ígrunda þarf vandlega ákvörðun um að stinga á gervilið. Nauðsynlegt er að hafa áverka á sin fjórhöfðavöðva læris í huga við áverka sem valda liðblæðingu. Rætt er um sýkingar í gerviliðum með áherslu á greiningu og fyrstu skref meðferðar.
An 80-year old male presented with an infected knee replacement following repeated joint aspirations. They were carried out due to recurrent hemarthrosis resulting from an initially missed quadriceps tendon injury. The infection was eradicated first after arthrodesis. This case highlights that prosthetic joints are sensitive to infection, which once established can be difficult to eradicate. Careful consideration is necessary before aspirating prosthetic joints. Diagnosing quadriceps tendon injuries can be difficult and they must be included in the differential diagnosis of traumatic hemarthrosis. We review the initials steps in the diagnosis and management of periprosthetic joint infections.
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To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.
Additional Links
http://dx.doi.org/ 10.17992/lbl.2016.09.97
http://www.laeknabladid.is/
ae974a485f413a2113503eed53cd6c53
10.17992/lbl.2016.09.97
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Icelandic Journal Articles (Peer Reviewed)

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