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Successful reimplantation of total femoral prosthesis after deep infection.
J Arthroplasty 2003; 18(2):216-20JA

Abstract

A 16-year-old boy developed a deep infection with methicillin-resistant Staphylococcus aureus 6 months after total femoral replacement including knee and hip joints. The deep infection was eradicated by the use of débridement with continuous irrigation and removal of all prosthetic components followed by insertion of an antibiotic-impregnated cement spacer. Six weeks later, the total femoral prosthesis could be successfully reimplanted with both acetabular and tibial components. Two and half years later, the patient remained free of infection. Débridement with continuous irrigation and an antibiotic-impregnated cement spacer can be a feasible technique for the treatment of deep infection after large prosthetic replacement. Furthermore, reimplantation should be performed after a short waiting period. Such treatment should be considered before deciding on amputation.

Authors+Show Affiliations

Department of Orthopedic Surgery, Hyogo College of Medicine, Hyogo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12629615

Citation

Morimoto, Sayaka, et al. "Successful Reimplantation of Total Femoral Prosthesis After Deep Infection." The Journal of Arthroplasty, vol. 18, no. 2, 2003, pp. 216-20.
Morimoto S, Futani H, Ogura H, et al. Successful reimplantation of total femoral prosthesis after deep infection. J Arthroplasty. 2003;18(2):216-20.
Morimoto, S., Futani, H., Ogura, H., Okayama, A., & Maruo, S. (2003). Successful reimplantation of total femoral prosthesis after deep infection. The Journal of Arthroplasty, 18(2), pp. 216-20.
Morimoto S, et al. Successful Reimplantation of Total Femoral Prosthesis After Deep Infection. J Arthroplasty. 2003;18(2):216-20. PubMed PMID: 12629615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful reimplantation of total femoral prosthesis after deep infection. AU - Morimoto,Sayaka, AU - Futani,Hiroyuki, AU - Ogura,Hiroyuki, AU - Okayama,Akira, AU - Maruo,Soji, PY - 2003/3/12/pubmed PY - 2003/7/2/medline PY - 2003/3/12/entrez SP - 216 EP - 20 JF - The Journal of arthroplasty JO - J Arthroplasty VL - 18 IS - 2 N2 - A 16-year-old boy developed a deep infection with methicillin-resistant Staphylococcus aureus 6 months after total femoral replacement including knee and hip joints. The deep infection was eradicated by the use of débridement with continuous irrigation and removal of all prosthetic components followed by insertion of an antibiotic-impregnated cement spacer. Six weeks later, the total femoral prosthesis could be successfully reimplanted with both acetabular and tibial components. Two and half years later, the patient remained free of infection. Débridement with continuous irrigation and an antibiotic-impregnated cement spacer can be a feasible technique for the treatment of deep infection after large prosthetic replacement. Furthermore, reimplantation should be performed after a short waiting period. Such treatment should be considered before deciding on amputation. SN - 0883-5403 UR - https://www.unboundmedicine.com/medline/citation/12629615/Successful_reimplantation_of_total_femoral_prosthesis_after_deep_infection_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0883540302062381 DB - PRIME DP - Unbound Medicine ER -