PMC9926025_01
Swelling and vertical midline healed surgical scar
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F1
On physical examination, a 15-cm vertical healed surgical scar of the primary TKA was observed on the anterior side of left knee [Figure 1].
PMC9926025_02
X-rays showing antibiotic impregnated PMMA (polymethyl methacrylate) spacer and intramedullary rods as after prosthesis removal
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F2
For the patient during hospitalization antibiotic in cloud (vancomycin (4 g), imipenem, meropenem, and rifampin) plus antifungal (amphotericin B and voriconazole) was done [Figure 2].
Anteroposterior (a) and lateral (b) radiography of left knee joint at 12 months follow-up showing implantat 12 months follow-up showing implant
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F3
After almost 4 months, including Six weeks of injectable antibiotics and ten weeks of oral antibiotics, including fluconazole 150 mg twice a day, ciprofloxacin 500 mg orally three times a day, and clindamycin 150 mg three times a day with the subsidence of the patient's symptoms and negative inflammatory markers TKA was reimplanted after the spacer was removed with a new hinged prosthesis [Figure 3].
PMC9926025_03