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Orthopedics/Recurrent abscess after 8 months of surgery

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Question
Dear Dr,

My dad has 2 non obstructive renal calculi, is post op TURP with cystolithotrypsyand is a non-diabetic. My dad aged 80 had an ORIF last Aug as a result of an accidental fall for his subtrochanteric fracture of the rgt femur. He underwent a regular physiotherapy schedule and had started walking in 8 months. But after that he developed an abscess near his knee thrice, 2 screws were  removed when he had his first abcess ard the knee, for the remaining two abcesses which recurred within 1 and a half to two months, cleaning of the site was done, for the abscess he was prescribed antibiotics.Last few days he has developed a bulge in the hip region and his ortho surgeon is planning for the removal of the implant within 2 days.Recently he has been diagnosed with multiple myeloma which is of the smouldering kind.The abscess fluid is AFB negative and once his culture report turned out to b negative.The 3rd abscess culture report is due tom.Right now he is able to walk but there has been a slight shortening of the limb.
I want to know what are the risks and complications of the surgery as his femur is infected. What are antibiotic beads and how many types are there and what is the success rate? His surgeon says he is having recurrent abscess becoz of immunosuppression ( low immunity due to his age.) I belong to India and am very tense. Thanks.

Answer
Dear Nida,

This Orthopedic Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618, Elmhurst 60126 & Bartlett 60103 says...
For the bone infection of the leg-antibiotic beads have a high success rate in treating bone infections. The beads are picked according to the organism producing the infection. The risks are moderate as with any bone surgery on someone at 80 years old-however, you need to treat the bone infection. As far as the limb being shortened-he can be fitted a shoe with an orthotic with a lift.

Hope this Helps & Good Luck!
The Chicago Podiatrists of AnkleNFootCenters.com are specialists in orthopedics and sports medicine.
We are located in Chicago & Elmhurst

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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Dr George Tsatsos

Expertise

All questions related to orthopedics of the Lower Extremities-with a specialization in Foot & Ankle Orthopedics & Surgery-Adults & Children Sports Medicine questions of the lower extremities-including runner's injuries. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating to foot and ankle problems in Children, Sports medicine of the foot and ankle Runner's and walking problems

Experience

Board Certified in Surgery & Orthopedics of the Foot & Ankle. PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008 Organizations

Organizations
Member American & Illinois Podiatric Medical Association Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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