Resumo

LATORRE, Marcos R; HOLC, Fernando; MONTENEGRO, Noelia B.  e  ONATIVIA, José I.. Fascitis necrotizante como complicación de una osteosíntesis de fractura medial de cadera. Presentación de un caso. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.1, pp.91-98. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.1.1086.

Introduction: Necrotizing fasciitis is an infrequent pathology with a high morbidity and mortality. The report of this entity in relation to hip osteosynthesis with cannulated screws is unusual. The aim of this study is to present a case of necrotizing fasciitis as a complication of hip surgery. A case about a patient with multiple comorbidities treated for a femoral neck fracture with osteosynthesis with cannulated screws is described. The patient was admitted to the emergency department of our hospital suffering from septic shock. He required emergency surgical treatment with a wide fasciotomy and a surgical toilet plus extensive debridement of necrotic tissue. The case report emphasizes the importance of recognizing the main manifestations of this disease. The diagnosis is fundamentally clinical and requires high suspicion to establish treatment early. Conclusion: Despite its low frequency and reporting in relation to orthopedic surgeries, it is important to consider this entity as a possible complication of surgery. Necrotizing fasciitis is characterized by its rapid and torpid evolution. Early debridement has been shown to decrease mortality and is the best treatment along with antibiotic therapy.

Palavras-chave : Necrotizing fasciitis; complications; osteosynthesis.

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