ABSTRACT
Acute Salmonella typhiprosthetic joint infection (PJI) is a rare event. In Endemic areas one needs to be cautious if the patient is immunocompromised. We report a case of bilateral simultaneous PJI of the knee in a 60-year-old lady who was not immunocompromised. The patient presented on Post op Day 5 with Fever and local signs suggestive of infection. As this was an Early PJI she was successfully treated with Debridement, Poly exchange and Intravenous and oral antibiotics for 6 weeks. This case highlights the fact that in patients living in these areas and in seasons where incidence of enteric fever is high, patients should be screened preoperatively for Salmonella infection by history and stool cultures. To our knowledge this is the first case report of Early Bilateral Simultaneous infection with Salmonella typhi
ABSTRACT
The reconstruction of anterior cruciate ligament (ACL) has become the standard of care for a torn ACL in active, young athletes. Various technical complications during the surgery are documented. Of the complications pertaining to the bony tunnel preparation, the posterior femoral blow out is common. In this report we describe a complication that can occur while preparing the tibial tunnel – “tibial blow out”. This is a complication of anterior placement of the tibial tunnel and this has not been reported in the literature. We describe the identification, the possible mechanism, prevention and management of such an intraoperative complication.