A Revision of an Infected Total Hip Arthroplasty leading to Oxalate Nephropathy: A Case Report

Abstract

Introduction: Although one of the most successful orthopedic procedures, total hip arthroplasty (THA) conveys a not negligible risk for complications. Case Report: A 72-year-old patient after a THA received an operative revision 2 times due to persistent hematoma and early periprothetic infection. Post-operative renal failure requiring hemodialysis has been caused by a histologically confirmed oxalate nephropathy (ON). Post-operative antibiotic treatment altering the gut microbiome has been assumed as the most likely cause of ON. It is the first presented case of ON as a post-operative complication after a hip arthroplasty revising operation. Conclusion: Acute post-operative renal injury conveys significant danger for the patients. An interdisciplinary approach is needed as many cases require complex diagnostic and therapeutical procedures offered by experts on the field.

Keywords

• total hip arthroplasty
• total hip arthroplasty
• complication
• acute renal failure
• oxalate nephropathy