Table
1: Cases of Pyoderma Gangrenosum Following
Orthopedic Surgery.
|
Author/year |
Procedure |
Age/sex |
Past medical history |
Number of debridements
before accurate diagnosis |
Satellite lesions |
Amputation |
Management |
|
(Y/N) |
(Y/N) |
||||||
|
Armstrong/1999 |
Total hip arthroscopy |
69/M |
Pyoderma gangrenosum |
2 |
Y |
N |
Prednisolone |
|
Bennett/ 1999 |
Tarsal tunnel release,
release of deep fascia overlying abducter hallucis muscle, and plantar fasciectomy |
32/F |
Not significant |
9 |
N |
Y (partial amputation
of third toe) |
Prednisone |
|
Split thickness skin
graft |
|||||||
|
Revision arthroplasty of the third, fourth, and fifth metacarpophalangeal joints |
25/F |
Juvenile rheumatoid
arthritis and Crohn’s disease |
2 |
Y |
Methylprednisolone
sodium succinate |
||
|
Jain/2000 |
Total knee arthroplasty |
63/M |
Osteoarthritis |
1 |
N |
N |
Prednisolone |
|
Mandal/2006 |
Total knee arthroplasty |
72/F |
Not given |
None |
N |
N |
Debridement, wound
VAC, skin graft |
|
Systemic steroids |
|||||||
|
Wadia/2007 |
Bilateral total knee arthroplasty |
80/F |
Not significant |
None |
Y |
N |
Prednisolone |
|
Madsen/2009 |
Arthroscopic partial meniscectomy |
59/M |
Not given |
Multiple |
N |
N |
Cyclosporine |
|
Prednisolone |
|||||||
|
Verma/2009 |
Total Knee Arthroplasty |
72/F |
Not given |
None |
Y |
N |
Prednisolone |
|
de Thomasson/2010 |
Hip arthroscopy |
65/F |
Arthritis |
None |
N |
N |
Prednisone |
|
Adenocarcinoma of
colon and pancreas |
|||||||
|
Attar/2010 |
Bilateral Total Knee Arthroplasty |
80/F |
History of wound
problem after prior surgery |
4 |
N |
N |
Prednisone |
|
Latissimus flap, free fasciocutaneous anterolateral
thigh flap, gastrocnemius flap |
|||||||
|
Steenbrugge/2011 |
Tibial plateau fracture of
knee following trauma |
55/F |
Not given |
Unclear |
N |
N |
|
|
Hill/2011 |
Total knee arthroplasty |
63/ F |
Sjogrens Disease |
Multiple |
Y |
N |
Prednisolone |
|
Negative pressure
therapy |
|||||||
|
Hyperbaric oxygen |
|||||||
|
Skin graft |
|||||||
|
Nakajima/2011 |
Total knee arthroplasty |
80/F |
Type 2 diabetes
mellitus |
Multiple |
Y |
N |
Cyclosporine |
|
Prednisolone |
|||||||
|
Flap and full
thickness skin graft |
|||||||
|
Suarez/2011 |
Hip surgery |
81/M |
Myelodysplastic Syndrome |
1 |
N |
N |
Prednisone |
|
Wanich/2012 |
Patellar tendon repair |
51/M |
Not significant |
None |
N |
N |
Prednisone |
|
Dapsone |
|||||||
|
Fang/2013 |
Midfoot fusion and ipsilateral achilles tendon
reconstruction |
74/F |
History of wound
complication |
5 |
Y |
Y |
Prednisolone |
|
Polyclonal
immunoglobulin |
|||||||
|
Grollmus/2013 |
Right ankle arthoscopy with debridement and microfracture |
48/F |
Not significant |
1 |
N |
N |
Prednisone |
|
Reid/2014 |
Elective rotator cuff
repair and Bankart repair |
55/M |
Not significant |
8 |
N |
N |
Hydrocortisone |
|
Free flap and
rotational flap |
|||||||
|
Nizamoglu/2015 |
Hip surgery |
82/M |
Not significant |
1 |
N |
N |
Prednisolone |
|
Jing Hui/2015 |
Total Knee Arthoplasty |
56/M |
Not given |
4 |
N |
N |
Prednisone |