Necrotizing fasciitis: Complication of osteosynthesis in medial hip fracture. Case presentation

DOI: https://doi.org/10.15417/issn.1852-7434.2021.86.1.1086
Keywords: Necrotizing fasciitis, complications, osteosynthesis.

Abstract

Introduction: Necrotizing fasciitis is an infrequent pathology with a high morbidity and mortality. The report of this entity in relation to hip osteosynthesis with cannulated screws is unusual. The aim of this study is to present a case of necrotizing fasciitis as a complication of hip surgery. A case about a patient with multiple comorbidities treated for a femoral neck fracture with osteosynthesis with cannulated screws is described. The patient was admitted to the emergency department of our hospital suffering from septic shock. He required emergency surgical treatment with a wide fasciotomy and a surgical toilet plus extensive debridement of necrotic tissue. The case report emphasizes the importance of recognizing the main manifestations of this disease. The diagnosis is fundamentally clinical and requires high suspicion to establish treatment early. Conclusion: Despite its low frequency and reporting in relation to orthopedic surgeries, it is important to consider this entity as a possible complication of surgery. Necrotizing fasciitis is characterized by its rapid and torpid evolution. Early debridement has been shown to decrease mortality and is the best treatment along with antibiotic therapy.Level of Evidence: IV      

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Author Biographies

Marcos Latorre, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Fernando Holc, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Fernando Holc, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Noelia Belén Montenegro, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Noelia B. Montenegro, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
José Ignacio Oñativia, Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
José I. Oñativia, MD. Orthopedics and Traumatology Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina

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Published
2021-02-11
How to Cite
Latorre, M., Holc, F., Montenegro, N. B., & Oñativia, J. I. (2021). Necrotizing fasciitis: Complication of osteosynthesis in medial hip fracture. Case presentation. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(1), 91-98. https://doi.org/10.15417/issn.1852-7434.2021.86.1.1086
Issue
Vol 86 No 1 (2021)
Section
Case Presentations
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