Antibiotic-impregnated Cement Plate for the Treatment of Infected Periprosthetic Femoral Fracture after Cementless Total Hip Arthroplasty - A Case Report -

Copyright c 2012 by Korean Hip Society 245 Periprosthetic femoral fracture is a problematic complication of total hip arthroplasty (THA). Although treatment protocols for periprosthetic femoral fracture have been reported, treatment protocols for periprosthetic fracture with accompanying infection have rarely been published. When these two complications occur together, it becomes more difficult to meet the goals of eradicating infection, alleviating pain, and improving function. The periprosthetic fracture should be stabilized with a technique that does not compromise the goal of eradicating infection. In cases of infected periprosthetic fracture, traditional methods of open reduction and internal fixation with metal plates and screws are not ideal because the metal implants may serve as a sanctuary for bacteria. That bacterial nidus could subsequently infect the reimplanted metals. We present a case in which successful fixation of an infected periprosthetic femoral fracture after THA was achieved using an antibioticimpregnated cement plate and wiring. Antibiotic-impregnated Cement Plate for the Treatment of Infected Periprosthetic Femoral Fracture after Cementless Total Hip Arthroplasty A Case Report -