A RARE AND UNUSUAL CAUSE OF DISCHARGING SINUS AROUND THE KNEE


Surendra Umesh Kamath, Dr Shaila S Kamath, Purnachandra Tejaswi

Abstract


ABSTRACT
A 56-year-old male presented to our outpatient department with a history of discharging sinus over the medial aspect of right knee since 6 months.
He had a history of road traffic accident with a crush injury to right knee 17 years ago for which he was treated by vascular, plastic, and orthopedic
surgeons with hospitalization for about 3 months. Imaging studies with clinical examination suggested a possible diagnosis of chronic osteomyelitis
distal femur right with a sequestrum. On exploration, the sinus tract was leading to cavity in the posterior aspect femur containing pus and 4 cm long
vascular graft material. Possibly the vascular graft was used for the treatment of vascular injury 17 years ago was the cause for persistent sinus.
Keywords: Persistent sinus, Sinus exploration, Vascular graft.


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References


REFERENCES

Marya KM, Yadav V. An unusual cause of a discharging sinus. Postgrad

Med J 2003;79(933):420, 424-5.

Leijnen M, Steenvoorde P, van Doorn LP, da Costa SA, Schuttevaer HM,

van Leeuwen GA, et al. A Non-healing sinus of the lower leg 5 years

after vacuum-assisted closure therapy due to a gossypiboma. Wounds

;19(8):227-30.

Butcher M. Managing wound sinuses. Nurs Times 2002;98(2):63.

Piano G. Infections in lower extremity vascular grafts. Surg Clin North

Am 1995;75(4):799-809.

Antonios VS, Noel AA, Steckelberg JM, Wilson WR, Mandrekar JN,

Harmsen WS, et al. Prosthetic vascular graft infection: A risk factor

analysis using a case-control study. J Infect 2006;53(1):49-55.

Saleem BR, Berger P, Zeebregts CJ, Slart RH, Verhoeven EL, van den

Dungen JJ. Periaortic endograft infection due to Listeria monocytogenes

treated with graft preservation. J Vasc Surg 2008;47(3):635-7.

Szilagyi DE, Smith RF, Elliott JP, Vrandecic MP. Infection in arterial

reconstruction with synthetic grafts. Ann Surg 1972;176(3):321-33.




About this article

Title

A RARE AND UNUSUAL CAUSE OF DISCHARGING SINUS AROUND THE KNEE

Date

01-07-2016

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 9 Issue 4 July 2016 Page: 1-2

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

134 Views | 243 Downloads

Authors & Affiliations

Surendra Umesh Kamath
Professor and Head of Orthopaedics KMC ,Manipal University, Manipal, Karnataka State, India
India

Dr Shaila S Kamath
Professor of Anaesthesilogy KMC Mangalore , Manipal University, Manipal, Karnataka State, India
India

Purnachandra Tejaswi
Asst Professor of Orthopaedics KMC Mangalore , Manipal University, Manipal, Karnataka State, India
India


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