Hip Pelvis.  2012 Sep;24(3):245-249. 10.5371/hp.2012.24.3.245.

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

• Lee HJ
• Kim JW
• Lee JS
• Song KS
• Ha YC
• Kim MK

• KMID: 2054139
• DOI: http://doi.org/10.5371/hp.2012.24.3.245

Abstract

A 62-year-old man with an infected periprosthetic femoral fracture, which occurred after a cementless total hip arthroplasty (THA) procedure, was treated utilizing an antibiotic-impregnated cement plate for internal fixation. Open reduction and internal fixation using a cable plate were initially attempted in his case, but a deep infection with methicillin-resistant staphylococcus epidermidis at the fracture site occurred 2 months after the initial cable plate procedure. Using an antibiotic-impregnated cement plate for internal fixation, one month later, the fracture had stabilized. Successful fusion occurred at 12 months after deploying the antibiotic-impregnated cement plate. This technique was useful in this complicated case because it facilitated the goals of eradicating infection, alleviating pain, and improving function.

Keyword

Antibiotic-impregnated cement plate; Infected periprosthetic fracture; Total hip arthroplasty

MeSH Terms

Arthroplasty
Femoral Fractures
Hip
Humans
Methicillin Resistance
Middle Aged
Staphylococcus epidermidis

Figure

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  Fig. 1 Anteroposterior hip radiograph showing the Vancouver type C periprosthetic fracture without component loosening.

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  Fig. 2 Anteroposterior hip radiograph showing open reduction and internal fixation using a cable plate.

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  Fig. 3 Anteroposterior hip radiograph 3 months after the operation showing wire loosening and varus deformity.

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  Fig. 4 Intraoperative photograph showing the bony defect on the lateral wall of the femoral shaft.

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  Fig. 5 Intraoperative photograph showing antibiotic-impregnated cement and plate over a vinyl cover.

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  Fig. 6 Anteroposterior hip radiograph at 12 months after the operation showing bone union.

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