Conservation surgery and early rehabilitation in massive necrotizing fasciitis of the lower limbs

Authors

  • Rocio A Avanzi Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina
  • Matias Pereira D. Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina
  • Surya Victoria Kohan Fortuna Figueira Hospital Italiano de Buenos Aires
  • Danilo RE Taype Zamboni Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina
  • Jorge Barla Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina
  • Carlos F Sancineto Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina
  • Guido S. Carabelli Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

DOI:

https://doi.org/10.31053/1853.0605.v79.n1.32430

Keywords:

fasciitis, necrotizing, debridement, perforator flap, negative-pressure wound therapy, exercise therapy

Abstract

Necrotizing fasciitis is a life-threatening infection. Early diagnosis and treatment are essential. Reconstruction techniques and rehabilitation protocols have been poorly described. The objective of this work is to describe the results of timely treatment for limb preservation and early rehabilitation in a case of massive necrotizing fasciitis of the lower limbs. We present a case of necrotizing fasciitis in the lower limbs, treated surgically with a negative aspiration system, muscle flaps, and skin graft. We describe his rehabilitation protocol and the results at one year of follow-up.

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Author Biographies

Rocio A Avanzi, Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

Residente de 3er año en Ortopedia y Traumatología-Hospital Italiano de Buenos Aires

Danilo R. E. Taype Zamboni

Médico especialista en Ortopedia y Traumatología-Hospital Durand

Especialista en Trauma - Hospital Italiano de Buenos Aires

              +54 9- 11-50550162

              danilo.taype@hospitalitaliano.org.ar

Publicaciones:

  • Preliminary outcomes of proximal femur megaspacers.

Sancineto CF, Pereira Duarte M, Garcia Mansilla I, Taype Zamboni DRE, Carabelli GS, Barla JD. Arthroplast Today. 2019 Mar 16;5 (2):164-171. doi: 10.1016/j.artd.2018.09.008. eCollection 2019 Jun.

 

 

  • Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology.

Slullitel PA, Lucero CM, Soruco ML, Barla JD, Benchimol JA, Boietti BR, Zanotti G, Comba F, Taype-Zamboni DR, Carabelli GS, Piccaluga F, Sancineto CF, Diehl M, Buttaro MA; HipFEIR [Hip Fracture in the Elderly – Institutional Register] Study Group. Int Orthop. 2020 Oct;44(10):1887-1895. doi: 10.1007/s00264-020-04769-6. Epub 2020 Aug 8.

 

  • Validation of a modified Clavien-Dindo Classification for postoperative complications in orthopedic surgery.Camino Willhuber G, Slullitel P, Taype Zamboni D, Albergo J, Terrasa S, Piuzzi N, Boretto J. Rev Fac Cien Med Univ Nac Cordoba. 2020 Aug 21;77(3):161-167. doi: 10.31053/1853.0605.v77.n3.27931.
  • A novel radiological projection of the pelvis to evaluate the sitting imbalance in pelvis nonunions and malunions.

Sancineto CF, Gimenez MV, Taype D, Carabelli G, Barla J. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1117-1120. doi: 10.1016/j.jcot.2020.10.010. Epub 2020 Oct 9.

  • Treatment of Infected Pseudoarthrosis in a Subtrochanteric Fracture in a Patient with Osteopetrosis.

Lionel L, Barla JD, Diego C, Danilo T, Sancineto CF, Carabelli G. Case Rep Orthop. 2020 May 4;2020:5630202. doi: 10.1155/2020/5630202. eCollection 2020.

Matias Pereira D., Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

  • Radicular pain due to epidural gas-containing pseudocyst. Report of two cases and review of the literature
    Matias Pereira Duarte, Agustin Maria Garcia Mansilla, Maximiliano Mereles, Julio Bassani, Matias Gustavo Petracchi, Marcelo Gruenberg, Carlos Alberto Sola. IJRRT  Journal of International Radiology & Radiation Therapy. August 2018, doi: 10.15406/ijrrt.2018.05.00147

 

  • Percutaneous cement discoplasty for the treatment of advanced degenerative disk disease in elderly patients.

Sola C, Camino Willhuber G, Kido G, Pereira Duarte M, Bendersky M, Mereles M, Petracchi M, Gruenberg M. Eur Spine J. 2018 Mar 23. doi: 10.1007/s00586-018-5547-7

 

  • Preliminary outcomes of proximal femur megaspacers.

Sancineto CF, Pereira Duarte M, Garcia Mansilla I, Taype Zamboni DRE, Carabelli GS, Barla JD. Arthroplast Today. 2019 Mar 16;5 (2):164-171. doi: 10.1016/j.artd.2018.09.008. eCollection 2019 Jun.

 

  • Chylothorax, a rare complication after anterior lumbar interbody fusion. Case report.

Pereira Duarte M, Camino Willhuber G, Estefan M, Kido G, Bassani J, Gruenberg M, Sola C, Petracchi M. Rev Fac Cien Med Univ Nac Cordoba. 2020 Dec 21;77(4):381-384. doi: 10.31053/1853.0605.v77.n4.27982

 

  • Percutaneous Cement Discoplasty for the Treatment of Advanced Degenerative Disc Conditions: A Case Series Analysis.

Camino Willhuber G, Kido G, Pereira Duarte M, Estefan M, Bendersky M, Bassani J, Petracchi M, Gruenberg M, Sola C. Global Spine J. 2020 Sep;10(6):729-734. doi: 10.1177/2192568219873885. Epub 2019 Sep 6.

Danilo RE Taype Zamboni, Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

  • Preliminary outcomes of proximal femur megaspacers.

Sancineto CF, Pereira Duarte M, Garcia Mansilla I, Taype Zamboni DRE, Carabelli GS, Barla JD. Arthroplast Today. 2019 Mar 16;5 (2):164-171. doi: 10.1016/j.artd.2018.09.008. eCollection 2019 Jun.

 

 

  • Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology.

Slullitel PA, Lucero CM, Soruco ML, Barla JD, Benchimol JA, Boietti BR, Zanotti G, Comba F, Taype-Zamboni DR, Carabelli GS, Piccaluga F, Sancineto CF, Diehl M, Buttaro MA; HipFEIR [Hip Fracture in the Elderly – Institutional Register] Study Group. Int Orthop. 2020 Oct;44(10):1887-1895. doi: 10.1007/s00264-020-04769-6. Epub 2020 Aug 8.

 

  • Validation of a modified Clavien-Dindo Classification for postoperative complications in orthopedic surgery.Camino Willhuber G, Slullitel P, Taype Zamboni D, Albergo J, Terrasa S, Piuzzi N, Boretto J. Rev Fac Cien Med Univ Nac Cordoba. 2020 Aug 21;77(3):161-167. doi: 10.31053/1853.0605.v77.n3.27931.

 

  • A novel radiological projection of the pelvis to evaluate the sitting imbalance in pelvis nonunions and malunions.

Sancineto CF, Gimenez MV, Taype D, Carabelli G, Barla J. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1117-1120. doi: 10.1016/j.jcot.2020.10.010. Epub 2020 Oct 9.

 

  • Treatment of Infected Pseudoarthrosis in a Subtrochanteric Fracture in a Patient with Osteopetrosis.

Lionel L, Barla JD, Diego C, Danilo T, Sancineto CF, Carabelli G. Case Rep Orthop. 2020 May 4;2020:5630202. doi: 10.1155/2020/5630202. eCollection 2020.

Jorge Barla, Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

  • Survival and functionality in the elderly over 85 years of age with hip fracture.

Benchimol JA, Elizondo CM, Giunta DH, Schapira MC, Pollan JA, Barla JD, Carabelli GS, Boietti BR. Rev Esp Cir Ortop Traumatol. 2020 Jul-Aug;64(4):265-271. doi: 10.1016/j.recot.2020.02.001. Epub 2020 Apr 1.

 

  • Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology.

Slullitel PA, Lucero CM, Soruco ML, Barla JD, Benchimol JA, Boietti BR, Zanotti G, Comba F, Taype-Zamboni DR, Carabelli GS, Piccaluga F, Sancineto CF, Diehl M, Buttaro MA; HipFEIR [Hip Fracture in the Elderly – Institutional Register] Study Group. Int Orthop. 2020 Oct;44(10):1887-1895. doi: 10.1007/s00264-020-04769-6. Epub 2020 Aug 8.

 

  • A novel radiological projection of the pelvis to evaluate the sitting imbalance in pelvis nonunions and malunions.

Sancineto CF, Gimenez MV, Taype D, Carabelli G, Barla J. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1117-1120. doi: 10.1016/j.jcot.2020.10.010. Epub 2020 Oct 9.

 

  • Treatment of Infected Pseudoarthrosis in a Subtrochanteric Fracture in a Patient with Osteopetrosis.

Lionel L, Barla JD, Diego C, Danilo T, Sancineto CF, Carabelli G. Case Rep Orthop. 2020 May 4;2020:5630202. doi: 10.1155/2020/5630202. eCollection 2020.

 

  • The AO trauma CPP bone infection registry: Epidemiology and outcomes of Staphylococcus aureus bone infection.

Morgenstern M, Erichsen C, Militz M, Xie Z, Peng J, Stannard J, Metsemakers WJ, Schaefer D, Alt V, Søballe K, Nerlich M, Buckley RE, Blauth M, Suk M, Leung F, Barla JD, Yukata K, Qing B, Kates SL.

J Orthop Res. 2021 Jan;39(1):136-146. doi: 10.1002/jor.24804. Epub 2020 Jul 27.

Carlos F Sancineto, Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

  • Preliminary outcomes of proximal femur megaspacers.

Sancineto CF, Pereira Duarte M, Garcia Mansilla I, Taype Zamboni DRE, Carabelli GS, Barla JD.

Arthroplast Today. 2019 Mar 16;5(2):164-171. doi: 10.1016/j.artd.2018.09.008. eCollection 2019 Jun.

 

  • Preliminary outcomes of proximal femur megaspacers.

Sancineto CF, Pereira Duarte M, Garcia Mansilla I, Taype Zamboni DRE, Carabelli GS, Barla JD. Arthroplast Today. 2019 Mar 16;5 (2):164-171. doi: 10.1016/j.artd.2018.09.008. eCollection 2019 Jun.

 

  • Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology.

Slullitel PA, Lucero CM, Soruco ML, Barla JD, Benchimol JA, Boietti BR, Zanotti G, Comba F, Taype-Zamboni DR, Carabelli GS, Piccaluga F, Sancineto CF, Diehl M, Buttaro MA; HipFEIR [Hip Fracture in the Elderly – Institutional Register] Study Group. Int Orthop. 2020 Oct;44(10):1887-1895. doi: 10.1007/s00264-020-04769-6. Epub 2020 Aug 8.

 

  • A novel radiological projection of the pelvis to evaluate the sitting imbalance in pelvis nonunions and malunions.

Sancineto CF, Gimenez MV, Taype D, Carabelli G, Barla J. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1117-1120. doi: 10.1016/j.jcot.2020.10.010. Epub 2020 Oct 9.

 

  • Treatment of Infected Pseudoarthrosis in a Subtrochanteric Fracture in a Patient with Osteopetrosis.

Lionel L, Barla JD, Diego C, Danilo T, Sancineto CF, Carabelli G. Case Rep Orthop. 2020 May 4;2020:5630202. doi: 10.1155/2020/5630202. eCollection 2020.

Guido S. Carabelli, Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

  • Preliminary outcomes of proximal femur megaspacers.

Sancineto CF, Pereira Duarte M, Garcia Mansilla I, Taype Zamboni DRE, Carabelli GS, Barla JD.

Arthroplast Today. 2019 Mar 16;5(2):164-171. doi: 10.1016/j.artd.2018.09.008. eCollection 2019 Jun.

 

 

  • Survival and functionality in the elderly over 85 years of age with hip fracture.

Benchimol JA, Elizondo CM, Giunta DH, Schapira MC, Pollan JA, Barla JD, Carabelli GS, Boietti BR. Rev Esp Cir Ortop Traumatol. 2020 Jul-Aug;64(4):265-271. doi: 10.1016/j.recot.2020.02.001. Epub 2020 Apr 1.

 

  • Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology.

Slullitel PA, Lucero CM, Soruco ML, Barla JD, Benchimol JA, Boietti BR, Zanotti G, Comba F, Taype-Zamboni DR, Carabelli GS, Piccaluga F, Sancineto CF, Diehl M, Buttaro MA; HipFEIR [Hip Fracture in the Elderly – Institutional Register] Study Group. Int Orthop. 2020 Oct;44(10):1887-1895. doi: 10.1007/s00264-020-04769-6. Epub 2020 Aug 8.

 

  • A novel radiological projection of the pelvis to evaluate the sitting imbalance in pelvis nonunions and malunions.

Sancineto CF, Gimenez MV, Taype D, Carabelli G, Barla J. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1117-1120. doi: 10.1016/j.jcot.2020.10.010. Epub 2020 Oct 9.

 

  • Treatment of Infected Pseudoarthrosis in a Subtrochanteric Fracture in a Patient with Osteopetrosis.

Lionel L, Barla JD, Diego C, Danilo T, Sancineto CF, Carabelli G. Case Rep Orthop. 2020 May 4;2020:5630202. doi: 10.1155/2020/5630202. eCollection 2020.

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Published

2022-03-17

How to Cite

1.
Avanzi RA, Pereira D. M, Kohan Fortuna Figueira SV, Taype Zamboni DR, Barla J, Sancineto CF, Carabelli GS. Conservation surgery and early rehabilitation in massive necrotizing fasciitis of the lower limbs. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2022 Mar. 17 [cited 2024 Jun. 21];79(1):74-7. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/32430

Issue

Vol. 79 No. 1 (2022)

Section

Case Report

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