Hip Pelvis.  2013 Sep;25(3):226-231. 10.5371/hp.2013.25.3.226.

Treatment of Periprosthetic Tuberculous Infection of Total Hip Arthroplasty with Long Term Medication without Implant Removal

• Yoon TR
• Park KS
• Kim HS
• Oh CS
• Lee SH

• KMID: 1974379
• DOI: http://doi.org/10.5371/hp.2013.25.3.226

Abstract

Periprosthetic joint infection is one of the most dreaded complications of replacement arthroplasty and the incidence of periprosthetic tuberculous infections is increasing. This report presents a case of extensive periprosthetic tuberculous infections of primary total hip arthroplasty which was treated with debridement and long periods of antituberculous medication without implant removal. The patient completed 18 months of 4 drug antituberculous chemotherapy and the plain radiograph on the last review showed new bony consolidation around the prosthesis without loosening or signs of reactivation.

Keyword

Periprosthetic tuberculous infection; Total hip arthroplasty; Antituberculous medication; Without implant removal

MeSH Terms

Arthroplasty
Arthroplasty, Replacement
Arthroplasty, Replacement, Hip*
Debridement
Hip*
Humans
Incidence
Joints
Prostheses and Implants

Figure

• 

  Fig. 1 Anteroposterior view of right hip showing the progress of periprosthetic TB infection. (A) After debridement, (B) one year, (C) two year, (D) three year, (E) five year, (F) seven year follow-up.

• 

  Fig. 2 Graph showing the progress of the ESR and CRP. The last 6 months of ATM, the ESR and CRP was within normal range.

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