Use of an "antibiotic plate" for infected periprosthetic fracture in total hip arthroplasty.

Abstract

Periprosthetic fracture and infection are dreaded complications after total hip arthroplasty. We present the case of a 50-year-old man who suffered an early postoperative Vancouver B1 periprosthetic fracture, which was further complicated by concurrent infection after open reduction and internal fixation. We report the novel use of an antibiotic-impregnated cement coated locking plate during the staged treatment of concomitant periprosthetic fracture and chronic total hip arthroplasty infection. At 1-year follow-up, the patient is pain free and ambulating independently with full range of motion.

• Authors: Frank A Liporace, Richard S Yoon, Matthew A Frank, Robert J Gaines, James P Maurer, Daniil L Polishchuk, Edward W Choung
• Journal: Journal of orthopaedic trauma (J Orthop Trauma) Vol. 26 Issue 3 Pg. e18-23 (Mar 2012) ISSN: 1531-2291 [Electronic] United States
• PMID: 21804411 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Bone Cements

Topics

• Anti-Bacterial Agents (administration & dosage, therapeutic use)
• Arthroplasty, Replacement, Hip (adverse effects)
• Bone Cements
• Cementation
• Fracture Fixation, Internal (adverse effects)
• Hip Joint (physiopathology, surgery)
• Humans
• Male
• Middle Aged
• Periprosthetic Fractures (complications, surgery)
• Prosthesis-Related Infections (complications, therapy)
• Range of Motion, Articular
• Recovery of Function
• Treatment Outcome