Results 1 to 8 of 8

Thread: Infected hardware

  1. #1
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    854

    Infected hardware

    I really would have thought I would be past the time that infection would happen but it doesn't appear to be that way. The wound has been treated since September and started out not looking like too much. Little did I know that the red area that just opened and leaked was an underlying infection. What I thought was minor isn't turning out that way.
    The thoracic hardware has been in place since February of 2011. Thought I was good to go but there seems to be another plan.I am on antibiotics now and hardware scheduled for removal on Jan.21.
    MAybe last year's car accident had something to do with this.
    Any one else know what could cause this infection after this time ?
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  2. #2
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    7,118
    Quote Originally Posted by jackieg412 View Post
    I really would have thought I would be past the time that infection would happen but it doesn't appear to be that way. The wound has been treated since September and started out not looking like too much. Little did I know that the red area that just opened and leaked was an underlying infection. What I thought was minor isn't turning out that way.
    The thoracic hardware has been in place since February of 2011. Thought I was good to go but there seems to be another plan.I am on antibiotics now and hardware scheduled for removal on Jan.21.
    MAybe last year's car accident had something to do with this.
    Any one else know what could cause this infection after this time ?
    Sorry to hear about this. Hope they manage to get it all under control quickly.

    Unfortunately, late onset infection isn't all that uncommon. The infection can sort of lie dormant, under the implants, and show up even years later. I don't know about other surgeons, but Dr. Berven typically collects a tissue sample for biopsy when he does most revision surgeries. Non-symptomatic infections aren't unheard of.

    --Linda
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

  3. #3
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    4,104
    Yes, this article explains that trauma exceeds 10%

    Bacteria forms as biofilms on our hardware. These biofilms will go through changes over time....Its something I always wondered about because on some revision surgeries, the hardware does not retain its metallic shine, the rods turn a dull charcoal color.....

    (I do not know how other biomaterials react, for example PEEK or UHMW or PET tethers....)

    https://journals.lww.com/spinejourna...ofilms_.7.aspx

    Jackie, You must feel terrible, go to the hospital if need be.

    You have been through so much. I am so sorry

    Ed
    49 yr old male, now 61, the new 61...
    Pre surgery curves T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  4. #4
    Join Date
    Sep 2019
    Posts
    132

    Infected hardware

    I just saw my elbow surgeon for a followup and he remarked that all surgical infections make their way out to the surface. I bet an elbow surgeon doesn't experience many long-dormant infections such as can happen with fusion hardware, though.

    I'm glad it won't be too much longer before you have your hardware removed, Jackieg412, and I wish you the best. If anything new develops, get it looked at or phone your doctor's office.

  5. #5
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    854
    Thanks Tina and Ed and Linda. It has been a rough time since the car accident. The sheer trauma could have done anything. It may have looked okay on X-Ray but you never know. Also the misstep and twist could have injured something. Under the wound is a nerve that activates when the dressing is changed. So medication and antibiotics are being used . The neurosurgeon at Rush ( the one who did both of my broken neck surgeries and saved my ability to funcgion) is aware of the staph infection and is planning on the hardware removal any way. He said the infection won't cure until the source is removed.
    In addition I have reacted to the dressing. Has anyone else reacted to tegaderm?. I will have to inform the surgeon as it is a common dressing.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  6. #6
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    7,118
    Quote Originally Posted by jackieg412 View Post
    Thanks Tina and Ed and Linda. It has been a rough time since the car accident. The sheer trauma could have done anything. It may have looked okay on X-Ray but you never know. Also the misstep and twist could have injured something. Under the wound is a nerve that activates when the dressing is changed. So medication and antibiotics are being used . The neurosurgeon at Rush ( the one who did both of my broken neck surgeries and saved my ability to funcgion) is aware of the staph infection and is planning on the hardware removal any way. He said the infection won't cure until the source is removed.
    In addition I have reacted to the dressing. Has anyone else reacted to tegaderm?. I will have to inform the surgeon as it is a common dressing.
    Hi Jackie...

    I react to almost anything adhesive that stays on my skin for more than about 12 hours. Strangely Tegaderm is one of the adhesives that causes less reaction in my case.

    I'm surprised to hear your cervical surgeon say that he can't cure the infection without implant removal. While that's true for some patients, it's definitely not everyone. It may be that he just said it to assure you about the implant removal, which could be necessary regardless of the infection.

    https://www.ncbi.nlm.nih.gov/pubmed/28913559

    --Linda
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

  7. #7
    Join Date
    Sep 2019
    Posts
    132
    It's sobering to see those loose screws and rods in your x-ray after your accident. As I was chauffeured home from the hospital after surgery I couldn't help but think how terrible it might be to get into a car accident in such a fragile state and with embedded hardware.

    Whatever adhesive they used around my IV sites irritated me. It might have been Tegaderm if that is the latest thing. Even after the redness was gone it left zit-like sores on my neck that took weeks to go away.

  8. #8
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    854
    Yes that early stage requires more concern. The accident t was very violent. My car was forced into a Rick house.It is amazing to have lived through it. It is also amazing the neurosurgeon was able to make this as good as it is. I am still compromised in my right hand.
    I will have to address this tegaderm issue with the staff that will care for me after the hardware removal.. If will not be good to have that rash all over the new incision.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •