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Knee Infection* 19 days and still-a tiny hole in incision site

sealevel

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I had my knee replaced on aug 28, 2019, then had infection. Ive had 3 additional surgery's and now, 9 months plus after start, I am having a problem with the incision site not closing entirely. A small spot a little bigger than a pencil point is still having discharge (red small amounts). I am worried sick that it is going tom get infected again! I have been keeping a sterile bandage over the spot, but the discharge is sticking to the non-stick pad and seems to pull off every time I change it (twice a day). Should I leave it off and see if it closesmup? Or, keep it covered. AS i said I am worried that it will get infected if it doesn't heal soon.
 

Jaycey

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@sealevel Welcome to BoneSmart. Can you please give me the dates of your surgeries and which knee?
 

doodlebug60

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sealevel;
I had ltkr February 13 and I had the same problem. I got an infection near the bottom of my incision where the stitch didn't seal good. I overworked it on cpm machine and incision opened up like yours. Dr. cleaned it out and put me on antibiotics for a month. told me to keep it covered with a bandaid. like you; it would open back up every time I changed bandaid. I finally removed bandaid and massaged it twice a day with alcohol. I left bandaid off and it finally covered up. I still have a small bump under the skin; but no redness or heat around area. I believe I would leave bandaid off and keep hands and everything away from it. hope you get better soon
 
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sealevel

sealevel

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thanks for your response. I was told by my dr that I shouldn't use alcohol on the unhealed spot because alcohol will kill the good bacteria that help heal the wound. But I did use alcohol to clean it for a few days before he told me that. Yesterday I thought it had finally closed up, but then in the afternoon I noticed a small discoloration of the bandaid. But I have not looked yet today. My daughter is an occupational therapist and she has convinced me to only change the dressing once a day, so I am waiting until later today when I take a shower. The dr told me that bI could let water run over the incision site, but I have been hesitant doing that due to possibility of infection. I have washed it with antibacterial soap and water once a day for the last few days. I see the dr again tomorrow so maybe it will have closed up by then.
Thanks again for your post
 

Celle

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I'm sorry you're still having problems so long after your initial surgery, @sealevel .
I've put your TKR date in your signature, but please will you also tell us which knee it is , as well as the other surgeries you had afterwards, and the dates you had them?

We really do need some more information, so we can advise you appropriately.
  • Did you have to have the original knee replacement hardware removed for a while?
  • Did you have a course of intra-venous antibiotics, and are you taking antibiotics now?
  • Have you had an Infectious Diseases doctor on your treatment team? These ID doctors are the best at interpreting test results and helping your surgeon decide on treatments.
  • Is your surgeon aware that you still have a wound that is discharging? (If not, please let him/her know.)
 

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