{"id":2945,"date":"2019-10-15T10:01:04","date_gmt":"2019-10-15T08:01:04","guid":{"rendered":"https:\/\/www.crioac-lyon.fr\/?page_id=2945"},"modified":"2022-04-30T13:05:46","modified_gmt":"2022-04-30T11:05:46","slug":"exemples-de-prises-en-charge-complexes","status":"publish","type":"page","link":"https:\/\/www.crioac-lyon.fr\/en\/exemples-de-prises-en-charge-complexes\/","title":{"rendered":"Examples of management of complex cases"},"content":{"rendered":"<p><\/p>\n<div class=\"cf\">\n<h2><\/h2>\n<h2>Acetabular resection and reconstruction in a 71-year-old patient with a complex multidrug-resistant<em> S. epidermidis<\/em> infection of the left prosthetic hip joint<\/h2>\n<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-5198\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-hanche-reconstruction-complexe.jpg\" alt=\"\" width=\"720\" height=\"498\" srcset=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-hanche-reconstruction-complexe.jpg 720w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-hanche-reconstruction-complexe-300x208.jpg 300w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" \/>\n<div style=\"width: 360px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-2945-6\" width=\"360\" height=\"640\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-hanche-reconstruction-complexe.mp4?_=6\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-hanche-reconstruction-complexe.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-hanche-reconstruction-complexe.mp4<\/a><\/video><\/div>\n<p>After one year, patient can walk painlessly, and no signs of chronic infection can be observed.<\/p>\n<p>&nbsp;<\/p>\n<h2><\/h2>\n<h2>Prothesis resection in an 87-year-old bedridden patient, who had presented with infection of the right prosthetic hip joint and septic pseudarthrosis of the proximal femur with multi-resistant staphylococci after explantation and fracture<\/h2>\n<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4342\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-de-resection.jpeg\" alt=\"\" width=\"1480\" height=\"1025\" srcset=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-de-resection.jpeg 1480w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-de-resection-300x208.jpeg 300w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-de-resection-1024x709.jpeg 1024w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-de-resection-768x532.jpeg 768w\" sizes=\"auto, (max-width: 1480px) 100vw, 1480px\" \/>\n<div style=\"width: 360px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-2945-7\" width=\"360\" height=\"640\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-prothese-resection.mp4?_=7\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-prothese-resection.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-prothese-resection.mp4<\/a><\/video><\/div>\n<p>After 6 months, patient is able to walk painlessly, and no signs of chronic infection can be observed.<\/p>\n<p>&nbsp;<\/p>\n<h2><\/h2>\n<h2>Recurrent septic pseudarthrosis due to <em>P. aeruginosa<\/em> treated by two-stage management with resection, placement of a spacer and reconstruction by centromedullary nail and bone graft mixed with CERAMENT G et CERAMENT V bone substitute<\/h2>\n<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4358\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/radio-pseudarthrose-cerament.jpeg\" alt=\"\" width=\"1480\" height=\"1025\" srcset=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/radio-pseudarthrose-cerament.jpeg 1480w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/radio-pseudarthrose-cerament-300x208.jpeg 300w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/radio-pseudarthrose-cerament-1024x709.jpeg 1024w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/radio-pseudarthrose-cerament-768x532.jpeg 768w\" sizes=\"auto, (max-width: 1480px) 100vw, 1480px\" \/>\n<div style=\"width: 360px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-2945-8\" width=\"360\" height=\"640\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-marche-cerament.mp4?_=8\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-marche-cerament.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-marche-cerament.mp4<\/a><\/video><\/div>\n<p>Favourable outcome after 2 years: walking is painless, no signs of infection can be observed, and treatment is no longer necessary.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<h2><\/h2>\n<h2>Recurrent septic pseudarthrosis with indication of intercalary prosthesis<\/h2>\n<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4341\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-intercalaire.jpeg\" alt=\"\" width=\"1480\" height=\"1025\" srcset=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-intercalaire.jpeg 1480w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-intercalaire-300x208.jpeg 300w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-intercalaire-1024x709.jpeg 1024w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/prothese-intercalaire-768x532.jpeg 768w\" sizes=\"auto, (max-width: 1480px) 100vw, 1480px\" \/>\n<p>Favourable outcome after two-stage management with resection in the first stage, followed by placement of a spacer and an intercalary prosthesis, allowing for immediate unaided walking.<\/p>\n<p>&nbsp;<\/p>\n<h2><\/h2>\n<h2>Septic pseudarthrosis of the radius and cubitus treated with double Masquelet technique<\/h2>\n<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3803\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/masquelet-radius-cubitus.jpg\" alt=\"\" width=\"1480\" height=\"1025\" srcset=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/masquelet-radius-cubitus.jpg 1480w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/masquelet-radius-cubitus-300x208.jpg 300w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/masquelet-radius-cubitus-1024x709.jpg 1024w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/masquelet-radius-cubitus-768x532.jpg 768w\" sizes=\"auto, (max-width: 1480px) 100vw, 1480px\" \/>\n<p>Favourable outcome of septic pseudarthrosis of the forearm due to <em>S. aureus<\/em>\u00a0after resection, placement of a spacer, and reconstruction with bone graft. Complete healing after 6 months.<\/p>\n<p>&nbsp;<\/p>\n<h2><\/h2>\n<h2>Osteoarthritis of the knee following ballistic trauma with secondary indication of total knee replacement<\/h2>\n<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3802\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/trauma-ballistique.jpg\" alt=\"\" width=\"1480\" height=\"1025\" srcset=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/trauma-ballistique.jpg 1480w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/trauma-ballistique-300x208.jpg 300w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/trauma-ballistique-1024x709.jpg 1024w, https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/trauma-ballistique-768x532.jpg 768w\" sizes=\"auto, (max-width: 1480px) 100vw, 1480px\" \/>\n<div class=\"cf\">\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-2945-9\" width=\"640\" height=\"400\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_2.mp4?_=9\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_2.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_2.mp4<\/a><\/video><\/div>\n<\/div>\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-2945-10\" width=\"640\" height=\"400\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_3.mp4?_=10\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_3.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_3.mp4<\/a><\/video><\/div>\n<\/div>\n<p>Favourable outcome after multiple surgeries to manage infection, and after placement of prosthetic knee joint. After two years, limb function is satisfactory, with pain-free walking and no sign of infection.<\/p>\n<\/div>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Acetabular resection and reconstruction in a 71-year-old patient with a complex multidrug-resistant S. epidermidis infection of the left prosthetic hip joint After one year, patient can walk painlessly, and no signs of chronic infection can be observed. &nbsp; Prothesis resection in an 87-year-old bedridden patient, who had presented with infection of the right prosthetic hip joint and septic pseudarthrosis of<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2945","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages\/2945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/comments?post=2945"}],"version-history":[{"count":27,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages\/2945\/revisions"}],"predecessor-version":[{"id":5599,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages\/2945\/revisions\/5599"}],"wp:attachment":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/media?parent=2945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}