Methylene blue for the diagnosis of a sinus tract in periprosthetic knee joint infection

Heinrich, Simon Martin; Sendi, Parham; Clauss, Martin

doi:https://doi.org/10.5194/jbji-6-423-2021

Articles | Volume 6, issue 9

https://doi.org/10.5194/jbji-6-423-2021

© Author(s) 2021. This work is distributed under
the Creative Commons Attribution 4.0 License.

https://doi.org/10.5194/jbji-6-423-2021

© Author(s) 2021. This work is distributed under
the Creative Commons Attribution 4.0 License.

Articles | Volume 6, issue 9

Clinical picture

|

16 Nov 2021

Clinical picture |

| 16 Nov 2021

Methylene blue for the diagnosis of a sinus tract in periprosthetic knee joint infection

Simon Martin Heinrich, Parham Sendi, and Martin Clauss

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Cited articles

Berbari, E. F., Hanssen, A. D., Duffy, M. C., Steckelberg, J. M., Ilstrup, D. M., Harmsen, W. S., and Osmon, D. R.: Risk Factors for Prosthetic Joint Infection: Case-Control Study, Clin. Infect. Dis., 27, 1247–1254, 1998.

National Healthcare Safety Network: Surgical Site Infection Event (SSI) , available at: https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf, last access: 3 November 2021.

Ziv, Y. B., Kardosh, R., Debi, R., Backstein, D., Safir, O., and Kosashvili, Y.: An Inexpensive and Accurate Method for Hip Injections Without the Use of Imaging, J. Clin. Rheumatol., 15, 103–105, 2009.

Short summary

We report on an 83-year-old woman who had an open removal of a baker's cyst several months after total knee arthroplasty. The following wound healing problem was first misinterpreted as being superficial. With an injection of methylene blue and a contrast medium, we showed the extent of the sinus tract, proving the periprosthetic joint infection.