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학습 자료 둘러보기 →The surgical site is the priority assessment. A surgical site infection (SSI) can rapidly progress to sepsis or wound dehiscence. Inspect the dressing for strike-through bleeding and monitor for early signs of infection: erythema, purulent drainage, and increasing pain.
Patients with diabetes mellitus or peripheral vascular disease are at exponentially higher risk due to impaired microcirculation and immune response. Maintain strict aseptic technique during dressing changes and ensure proper wound care to protect the residual limb.
Do not delay antibiotic therapy or wound culture if infection is suspected. A missed SSI can lead to osteomyelitis of the residual femur, requiring surgical revision and significantly delaying prosthetic fitting.
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