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The International Journal of Lower Extremity Wounds
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Management of a Difficult-to-Heal Chronic Wound Infected With Methycillin-Resistant Staphylococcus aureus in a Patient With Psoriasis Following a Complex Knee Surgery

Mayukh Bhattacharyya, MBBS, MRCS, MSc

University Hospital Lewisham, London, mayukhbhattacharyya{at}hotmail.com

Helen Bradley, RN

University Hospital Lewisham, London

This report presents the difficulties encountered in managing a wound colonized with methycillin-resistant Staphylococcus aureus (MRSA) following a complex knee surgery in an elderly female patient with generalized psoriasis. The patient’s chronic wound was successfully treated with nanocrystalline silver-releasing dressings (ActicoatTM). The patient did not develop a deep-seated infection, nor was removal of the implant needed. However, the wound infection persisted for 6 months. At 3 years follow-up, the patient has satisfactory skin over the implant on the knee.

Key Words: wound healing • fracture • knee arthroplasty • psoriasis • silver dressing

The International Journal of Lower Extremity Wounds, Vol. 5, No. 2, 105-108 (2006)
DOI: 10.1177/1534734606288410


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