Successful Management of an Infected Total Hip Arthroplasty with Antibiotic Spacer (Prostalac) Followed by Revision with Wagon R Stem: A Case Report
Vol 05 Issue 1 | January 2024 | page: 18-20 | Rajesh Rana, Nirmal Chandra Mohapatra, Somnath Baskey, Manmath Nayak, Sibasish Patra
DOI: https://doi.org/10.13107/ojot.2024.v05i01.052
Received 06/06/2023; Reviewed 09/07/2023; Accepted 16/10/2023; Published 10/01/2024
Authors: Rajesh Rana [1], Nirmal Chandra Mohapatra [1], Somnath Baskey [1], Manmath Nayak [1], Sibasish Patra [1]
[1] Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India.
Address of Correspondence
Dr Rajesh Rana
Assistant Professor, Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India.
E-mail id – rajesh.rana66@gmail.com
Abstract
Total hip arthroplasty (THA) is a common and successful surgical procedure which becomes complicated by periprosthetic joint infection (PJI), which requires a careful and complete treatment strategy to eliminate the infection and restore function. A case of an infected THA in a 52-year-old male is described in this case report, as well as the course of treatment. Immediately after the failed THA, and with no improvement, the patient underwent a two-stage revision procedure utilizing an antibiotic concentrated Prostalac spacer, then definitive revision THA with Wagner SL revision hip stem. At one year follow up, the Patient had no signs of infection recurrence and had great subjective improvement in function and mobility. The two-stage revision protocol is illustrated to be useful and the Wagner SL revision hip stem in revision arthroplasty demonstrated to be effective in this case. The wire augmentation to greater trochanter gives significant abductor stability.
Keywords: Periprosthetic Joint Infection (PJI), Two-Stage Revision, Wagner SL Revision Hip Stem
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| How to Cite this Article: Rana R, Mohapatra NC, Baskey S, Nayak M, Patra S | Successful Management of an Infected Total Hip Arthroplasty with Antibiotic Spacer (Prostalac) Followed by Revision with Wagon R Stem: A Case Report | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01: 18-20 | https://doi.org/10.13107/ojot.2024.v05i01.052 |
