One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse Osteomyelitis
Managing substantial proximal and/or distal femoral bone defects is one of the biggest challenges in chronic hip periprosthetic joint infection. Most authors use two-stage arthroplasty with a temporary antibiotic-loaded cement spacer for the management of these patients. In this study, we show our e...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/7/1/5 |
| _version_ | 1797489914021937152 |
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| author | Roy Gonzalez Ernesto Muñoz-Mahamud Guillem Bori |
| author_facet | Roy Gonzalez Ernesto Muñoz-Mahamud Guillem Bori |
| author_sort | Roy Gonzalez |
| collection | DOAJ |
| description | Managing substantial proximal and/or distal femoral bone defects is one of the biggest challenges in chronic hip periprosthetic joint infection. Most authors use two-stage arthroplasty with a temporary antibiotic-loaded cement spacer for the management of these patients. In this study, we show our experience with one-stage exchange arthroplasty in managing severe bone defects due to radiological-extensive proximal femoral osteomyelitis. Two patients were included in the study. They showed radiological-extensive proximal femoral osteomyelitis, and they were treated with one-stage exchange arthroplasty using megaprosthesis. Diffuse osteomyelitis was confirmed in both cases; in one case, the histology was compatible with osteomyelitis, and the other case had a positive culture identified in a bone sample. At a minimum of a four-year follow-up, the patients did not reveal any clinical, radiological or laboratory signs of infection. In conclusion, one-stage exchange arthroplasty and megaprosthesis is an option for the treatment of chronic hip periprosthetic joint infection associated with radiological-diffuse proximal femoral osteomyelitis. |
| first_indexed | 2024-03-10T00:24:26Z |
| format | Article |
| id | doaj.art-16a91a17eb6042a382b2ed523f8654cd |
| institution | Directory Open Access Journal |
| issn | 2414-6366 |
| language | English |
| last_indexed | 2024-03-10T00:24:26Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj.art-16a91a17eb6042a382b2ed523f8654cd2023-11-23T15:36:35ZengMDPI AGTropical Medicine and Infectious Disease2414-63662021-12-0171510.3390/tropicalmed7010005One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse OsteomyelitisRoy Gonzalez0Ernesto Muñoz-Mahamud1Guillem Bori2Department of Traumatology and Orthopedic Surgery, Hospital San Juan de Dios, San José 10102, Costa RicaDepartment of Traumatology and Orthopaedic Surgery, Hospital Clínic de Barcelona, University of Barcelona, Carrer Villarroel, 170, 08036 Barcelona, SpainDepartment of Traumatology and Orthopaedic Surgery, Hospital Clínic de Barcelona, University of Barcelona, Carrer Villarroel, 170, 08036 Barcelona, SpainManaging substantial proximal and/or distal femoral bone defects is one of the biggest challenges in chronic hip periprosthetic joint infection. Most authors use two-stage arthroplasty with a temporary antibiotic-loaded cement spacer for the management of these patients. In this study, we show our experience with one-stage exchange arthroplasty in managing severe bone defects due to radiological-extensive proximal femoral osteomyelitis. Two patients were included in the study. They showed radiological-extensive proximal femoral osteomyelitis, and they were treated with one-stage exchange arthroplasty using megaprosthesis. Diffuse osteomyelitis was confirmed in both cases; in one case, the histology was compatible with osteomyelitis, and the other case had a positive culture identified in a bone sample. At a minimum of a four-year follow-up, the patients did not reveal any clinical, radiological or laboratory signs of infection. In conclusion, one-stage exchange arthroplasty and megaprosthesis is an option for the treatment of chronic hip periprosthetic joint infection associated with radiological-diffuse proximal femoral osteomyelitis.https://www.mdpi.com/2414-6366/7/1/5osteomyelitisone-stage exchange arthroplastyinfectionhiphip arthroplastybone defect |
| spellingShingle | Roy Gonzalez Ernesto Muñoz-Mahamud Guillem Bori One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse Osteomyelitis Tropical Medicine and Infectious Disease osteomyelitis one-stage exchange arthroplasty infection hip hip arthroplasty bone defect |
| title | One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse Osteomyelitis |
| title_full | One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse Osteomyelitis |
| title_fullStr | One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse Osteomyelitis |
| title_full_unstemmed | One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse Osteomyelitis |
| title_short | One-Stage Hip Revision Arthroplasty Using Megaprosthesis in Severe Bone Loss of The Proximal Femur Due to Radiological Diffuse Osteomyelitis |
| title_sort | one stage hip revision arthroplasty using megaprosthesis in severe bone loss of the proximal femur due to radiological diffuse osteomyelitis |
| topic | osteomyelitis one-stage exchange arthroplasty infection hip hip arthroplasty bone defect |
| url | https://www.mdpi.com/2414-6366/7/1/5 |
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