Extensive skin necrosis after periprosthetic knee infection: a case that highlights the possibility of complications induced by low-molecular-weight heparin

<p>We describe a case of a patient with atrial fibrillation, anticoagulated with dabigatran, that developed severe knee skin necrosis in the setting of an acute periprosthetic knee infection, after initiating low-molecular-weight heparin. A wide range of etiology hypotheses was discussed withi...

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Bibliographic Details
Main Authors: H. Fonte, A. Carvalho, J. Rosa, C. Pereira, A. Pereira, R. Sousa
Format: Article
Language:English
Published: Copernicus Publications 2021-06-01
Series:Journal of Bone and Joint Infection
Online Access:https://jbji.copernicus.org/articles/6/235/2021/jbji-6-235-2021.pdf
Description
Summary:<p>We describe a case of a patient with atrial fibrillation, anticoagulated with dabigatran, that developed severe knee skin necrosis in the setting of an acute periprosthetic knee infection, after initiating low-molecular-weight heparin. A wide range of etiology hypotheses was discussed within a multidisciplinary team. The complex approach consisted of treating the underlying infection, multiple types of soft-tissue management, and stopping enoxaparin.</p>
ISSN:2206-3552