日本形成外科学会会誌
Online ISSN : 2758-271X
Print ISSN : 0389-4703
症例報告
膝関節開放創に対して持続洗浄療法にて下肢を温存し得た1例
岩本 晃一山下 雄太郎中村 由実子美馬 俊介板東 真由長坂 信司峯田 一秀安倍 吉郎橋本 一郎
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2025 年 45 巻 6 号 p. 247-252

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 Amputation is often the treatment of choice for wounds that expose the joint cavity. A 46-year-old man was admitted to the hospital in poor general condition following coronavirus infection. The patient had developed bilateral knee joint ulcers caused by pressure sores. Skin ulcers that exposed the joint space were observed at the knee joints. Bacterial cultures were negative; however, the patient underwent negative-pressure wound therapy with continuous irrigation (NPWTci) in case of culture-negative infection. The patient's lower extremities were salvaged and the patient could walk using a walker. NPWTci and flap reconstruction are effective treatments for patients with persistent knee ulcers.

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