Martínez OA, Rodríguez RS, Mafara FG

Language: Spanish
References: 15
Page: 121-125
PDF size: 143.14 Kb.

ABSTRACT

This paper describes the treatment of an acetabular fracture associated with lower limb necrotizing fasciitis. Clinical case: Male, 65-year-old patient, with type-II diabetes mellitus, admitted with left acetabular fracture, previously managed with skeletal traction at the level of the ipsilateral muscle, with necrotizing fasciitis (thigh and coxofemoral joint), with systemic alterations (hypotension, hyperthermia, acid-base imbalance, etc.). Multiple surgical debridements were performed, as well as resection of the femur head and shaft. Antibiotic therapy was instituted. Blood glucose, ESR and PCR were used as infection parameters. Coagulase-positive Staphylococcus was identified as the causative agent, and the infection remitted. Osteosynthesis with external fixation was performed. Total hip arthroplasty was used as the definitive treatment. Conclusion: The literature shows that timely detection and proper management with surgical debridement and antibiotics decreases the morbidity and mortality due to necrotizing fasciitis. Preserving life is the priority and after that comes the management of sequelae to improve limb function and help the patient return to a normal life.

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