Loading...
Please wait, while we are loading the content...
Similar Documents
Acetabular Prosthetic Protrusio after Bipolar Hemi-Arthroplasty of the Hip: Case Report and Review of the literature
| Content Provider | Semantic Scholar |
|---|---|
| Author | Lim, Jason B. T. Ang, Chia Liang Pang, Hee Nee |
| Copyright Year | 2016 |
| Abstract | INTRODUCTION Bipolar hemi-arthroplasty of the hip is a commonly performed procedure in elderly patients with intra-capsular fracture of the neck of the femur with good short-term results for pain relief, return to activity and morbidity. The incidence of intra-pelvic prosthesis migration or protrusion is rare and one of the inciting factors is chronic low-grade sepsis. Acetabular prosthesis protrusion poses a difficult and challenging surgical problem due to surrounding neurovascular structures. CASE PRESENTATION We present a case report of 60-year-old Chinese female suffering from chronic sepsis of the hip joint causing acetabular prosthetic protrusion with a concomitant peri-prosthetic femoral shaft fracture secondary to a fall, 5 years post index surgery of bipolar hemiarthroplasty for an intra-capsular neck of femur fracture. This patient subsequently underwent a two-stage revision total hip arthroplasty. We aim to discuss the diagnostic approach and surgical management of this complex case of infected protruded bipolar hip hemi-arthroplasty. CONCLUSION We highlight three recommendations from this clinical experience. Firstly, there should be a high index of suspicion for chronic infection in protruded prostheses following low energy trauma. Secondly, pre-operative planning for infected protruded prosthetic hips is essential, including arteriogram and a two-staged procedure to tackle possible soft tissue complications. Thirdly, the combined use of serological markers, fluid aspiration as well as intra-operative frozen section is important in the management of PJI and to confirm bacterial eradication before re-implantation. |
| Starting Page | 28 |
| Ending Page | 31 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://pdfs.semanticscholar.org/b1e4/4c80d79744742d6ca8c23173c4584c62fd49.pdf |
| PubMed reference number | 5245930 |
| Alternate Webpage(s) | https://doi.org/10.13107/jocr.2250-0685.488 |
| DOI | 10.13107/jocr.2250-0685.488 |
| Journal | Journal of orthopaedic case reports |
| Volume Number | 6 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Bipolar Disorder Bone structure of ischium Bone structure of shaft of femur Femoral Fractures Frozen Sections Hemiarthroplasty Hip Dislocation, Congenital Hip Joint Juvenile polyposis syndrome Knee Replacement Arthroplasty (procedure) Morbidity - disease rate Pain relief Patients Prosthesis Implantation Revision procedure Sepsis Shaft Device Component Surgical Management Surgical Replantation Wounds and Injuries arteriogram soft tissue |
| Content Type | Text |
| Resource Type | Article |
