Persistent Chronic Periprosthetic Joint Infection Treated with Three-Stage Revision Hip Arthroplasty: A Case Report

نویسندگان

چکیده

Background: Periprosthetic Joint Infection (PJI) is a dreadful complication of primary Total Hip Arthroplasty (THA). Following revision THA, up to 17% THA can be complicated with PJI. Three-stage should only done if simple debridement fails treat Here we present rare case persistent PJI, treated three-stage and bone grafting.Case Report: A thirty-seven-year-old female patient came chief complaint hip pain four months ago. Four years ago, the had right column femur fracture was THA. One year afterward, implant infected, debrided. later, infection symptom recurred, arthroplasty planned one delay for each stage: removal implant, replacement spacer, reimplantation. The acetabular augmented using autograft from iliac wing during After reimplantation, subsides, walk normally again.Discussion: Previous studies have found various risk factors that might contribute failure two-stage arthroplasty. infecting bacteria major factors, therefore appropriate antibiotic important. Augmentation graft also supplement loss failed as it helps scaffold healing.Conclusion: after PJI augmentation possible good result.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Increased Risk of Heterotopic Ossification Following Revision Hip Arthroplasty for Periprosthetic Joint Infection

Purpose: To investigate whether surgery for PJI of the hip, the number of procedures and their duration contribute to risk of HO formation. Methods: 56 patients with hip PJI undergoing one-stage (10) or two-stage (46) exchange arthroplasty were matched to 112 patients undergoing revision arthroplasty for aseptic failure based on age, gender, body mass index (BMI), surgical approach (all direct...

متن کامل

Two-stage hip revision arthroplasty with a hexagonal modular cementless stem in cases of periprosthetic infection

BACKGROUND Two-stage revision arthroplasty is today regarded as the gold standard treatment method for deep prosthetic joint infection. The aim of the present study was to evaluate clinical and functional outcomes with the Modular Universal Tumor And Revision System (MUTARS) RS stem in patients undergoing two-stage revisions. METHODS The functional and clinical outcomes for 43 patients who ha...

متن کامل

Partial 2-Stage Revision in Chronic Hip Arthroplasty Infections: A Review

Background: Periprosthetic hip infections (PHIs) are troublesome complications of hip arthroplasties. The gold standard procedure for treating chronic PHI is a 2-stage approach. Recently, however, more conservative approaches have been developed to spare the osseointegrated components and avoid sequestra, bone loss, devascularization, and difficult reconstructions. The partial ...

متن کامل

Two-stage Revision for Periprosthetic Hip and Knee Joint Infections

BACKGROUND Periprosthetic joint infection (PJI) continues to be one of the leading causes of failure following hip and knee surgery. The diagnostic workflow of PJI includes detailed clinical examination, serum markers, imaging and aspiration/biopsy of the affected joint. The goals of treatment are eradication of the infection, alleviation of pain, and restoration of joint function. Surgical man...

متن کامل

Two-Stage Revision Arthroplasty for Periprosthetic Hip Infection: Mean Follow-Up of Ten Years

BACKGROUND Two-stage revision hip arthroplasty is the gold standard for treatment of patients with chronic periprosthetic joint infection (PJI), but few studies have reported outcomes beyond short-term follow-up. METHODS A total of 155 patients who underwent two-stage revision arthroplasty for chronic PJI in 157 hips were retrospectively enrolled in this study between January 2001 and Decembe...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: JOINTS (Journal Orthopaedi and Traumatology Surabaya)

سال: 2023

ISSN: ['2460-8742', '2722-712X']

DOI: https://doi.org/10.20473/joints.v12i1.2023.31-35