Antibiotic-loaded cement plugs

Case contributed by Dr Chris O'Donnell

Presentation

Infected right total hip prosthesis removed and cement plugs inserted to treat joint infection.

Patient Data

Age: 60
Gender: Male
CT

Cement plugs containing antibiotics are placed in the joint space created by removal of the infected total hip prosthesis. Note surrounding soft tissue swelling and bony fragmentation.

Case Discussion

Infections in orthopaedic surgery are a serious issue. Antibiotic-loaded bone cement was developed for the treatment of infected joint arthroplasties and for prophylaxis in total joint replacement. The plugs are removed prior to reimplantation, and the prosthesis reinserted only when biopsies and culture of the synovial tissues are negative for infection.

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Case information

rID: 30309
Case created: 1st Aug 2014
Last edited: 1st Dec 2016
Inclusion in quiz mode: Included

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