Techniques for Continuous Catheter Irrigation of a Septic Metacarpophalangeal Joint.
Journal
Techniques in hand & upper extremity surgery
ISSN: 1531-6572
Titre abrégé: Tech Hand Up Extrem Surg
Pays: United States
ID NLM: 9704676
Informations de publication
Date de publication:
01 Dec 2023
01 Dec 2023
Historique:
medline:
20
11
2023
pubmed:
7
6
2023
entrez:
7
6
2023
Statut:
epublish
Résumé
Septic arthritis of the metacarpophalangeal joint (MCPJ) compromises 9% of hand infections in Singapore. Common surgical treatment is open arthrotomy and joint washout. The wound is often left open for drainage postoperatively. Repeated debridement and secondary closure are frequently needed after the index surgery. We describe a method of continuous catheter irrigation of septic MCPJ joint using an infant feeding catheter. This method provides great infection clearance to avoid repeated debridement and allows primary closure of the wound to avoid secondary closure. This method also significantly reduces postoperative pain so that to facilitate early mobilization of the joint, which is crucial for functional recovery. We illustrate the techniques of this procedure and key points of postoperative management in the ward with case examples to demonstrate its simplicity, safety, and efficacy in treating MCPJ septic arthritis.
Identifiants
pubmed: 37282887
doi: 10.1097/BTH.0000000000000440
pii: 00130911-990000000-00057
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
220-224Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.
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