Evidence map›Paper›PMID 34485653›Full record

ArticleArthroplasty today2021

Pyoderma Gangrenosum After Bilateral Total Knee Arthroplasty.

Reilly Loomis, Mellanie Merrit, Maria Alexandrovna Aleshin, Grace Graw, Gordon Lee, Bradley Graw

Abstract readCase Reports
In one paragraph

Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Reilly LoomisPalo Alto Medical Foundation, Center for Total Joint Replacement, Palo Alto, CA.
Mellanie MerritSequoia Hospital, Center for Joint Replacement, Redwood City, CA.
Maria Alexandrovna AleshinDepartment of Dermatology, Stanford University Medical Center, Palo Alto, CA.
Grace GrawDepartment of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, CA.
Gordon LeeDepartment of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, CA.
Bradley GrawPalo Alto Medical Foundation, Center for Total Joint Replacement, Palo Alto, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pyoderma gangrenosum is a neutrophilic dermatosis, which mimics both infection and necrotizing fasciitis, that can present after surgical interventions. We present the case of a 62-year-old male who underwent one-stage bilateral total knee arthroplasty. Nine days after the surgery, he presented with wound breakdown, high fever, and elevated white blood cell count. Repeated debridement was performed, and empiric antibiotics were given. All tissue cultures and aspirates remained negative throughout treatment course, and the patient remained unresponsive to therapy. The patient was eventually diagnosed with pyoderma gangrenosum after infectious etiologies were ruled out and after a skin biopsy and dermatologic consultation. His condition rapidly improved after treatment with corticosteroids, and soft-tissue defects were repaired with skin substitute and full-thickness skin grafting. In patients with aseptic wound breakdown after total knee arthroplasty, pyoderma gangrenosum is a rare but devastating complication and should be considered.

Indexed as

Necrotizing fasciitisPathergyProsthetic joint infectionPyoderma gangrenosumTotal knee arthroplasty

Identifiers

PMID34485653
PMCPMC8397920

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.