Case ReportTotal hip arthroplasty for femoral neck fracture with pyoderma gangrenosum patient: A case report

•For the pyoderma gangrenosum patients who have no history of skin ulcers, surgical incision ulceration and delayed healing after surgery are likely to misdiagnosed as a simple infection due to lack of experience.•It is the first case report of pyoderma gangrenosum patients underwent total hip arthroplasty. Pyoderma gangrenosum was prevented successfully after operation and a satisfactory result was obtained.

IntroductionPyoderma gangrenosum is a rare inflammatory aseptic, ulcerative neutrophilic dermatosis which manifest as skin recurrent, painful ulcers.Presentation of caseA 65-year-old man with pyoderma gangrenosum underwent left total hip arthroplasty because of femoral neck fractures. Glucocorticoid, antibiotic, anticoagulant drug, etc. were given in perioperative period. Complication of pyoderma gangrenosum was prevented successfully in perioperative period.DiscussionNo consensus has been reached about whether to use glucocorticoid, as well as the dosage and administration, in perioperative periods for pyoderma gangrenosum patients as prophylactic means of wound complication.ConclusionWe herein report a case of pyoderma gangrenosum patient underwent total hip arthroplasty, meanwhile raise the issue of management in perioperative period for pyoderma gangrenosum patient, especially explore series of standardized therapies for this disease during arthroplasty.