ABSTRACT
INTRODUCTION AND IMPORTANCE: Although a significant number of periprosthetic joint infection cases and well-proven algorithm of its cure are available, there still is a potential to make a more justified decision and thus improve treatment result. CASE PRESENTATION: This paper presents a case report of late simultaneous Prosthetic Joint Infection of both knees.Clinical discussion dedicates to the possible contribution of Negative Pressure Wound Therapy in treatment of Prosthetic Joint Infection. CONCLUSION: We conceive the role of NPWT in the treatment of PJI to be underestimated to date and should be assessed in controlled trial.
ABSTRACT
BACKGROUND: Recent research has focused on identifying chemical modulators of osteogenesis. We present initial findings on the osteoinductive properties of prostaglandin Ð1 (Vasaprostan), using a rabbit model. METHODS: Data were collected on callus formation in 14 male rabbits. These were divided into two groups (control and treatment) with 7 animals in each group. In all animals, the right tibia was fractured using a standardized protocol and stabilized by an intramedullary nail. Treatment group received a 5 µg/kg subcutaneous injection of PGE1/day during 10 postoperative days. Visual and radiological evaluation of callus formation was prospectively collected. After 30 days, all animals were killed and the tibia specimens were examined histologically. RESULTS: In all the treatment group animals, fractures were consolidated radiologically by day 30. No treatment group animals and two control group animals were excluded form the experiment. In the control group, 4 animals demonstrated slower callus formation than the main group. Two control group animals were excluded from the experiment on the 20th day due to wound infection; one developed a nonunion. The mean coefficient of bone callus thickening in the main group was 2.08 (±0, 16) and 1.77 (±0.05) (p < 0.05) in the control group. Calculation of mean quantity of neogenic vessels in 10 random visual fields of the bone callus revealed 78 (±9.82) in the main group and 40 (±4.68) in the control group (p < 0.05). CONCLUSIONS: Our study demonstrates an increased rate and amount of bone callus formation in the group treated with prostaglandin E1 compared to the control group. Prospective radiological analysis was corroborated by histologic evaluation.
