Outcome of bilateral periprosthetic hip infection management

Abstract

Introduction Infection is a devastating complication after joint arthroplasty. In most cases of purulent infection, surgeons are forced to perform revision of the artificial joint. This is caused by the ability of microorganisms to adhere on the implant surface. Periprosthetic infection is a heavy burden both for patients due to a significant level of the disease recurrence and for medical institutions because of high medical treatment costs. Methods The analysis of the treatment outcome in a female patient with bilateral periprosthetic hip infection was conducted. One- and two-stage revisions were performed. Results The treatment measures stopped the purulent inflammatory process (according to Delphi) and restored the functional state of both hip joints (HHS of 79 points on the left and 93 points on the right side). Discussion Treatment of periprosthetic infection is a complex clinical task, which requires a personalized and comprehensive approach that includes implementation of the basic principles of diagnosis and treatment of the disease, understanding of this pathology, and teamwork. One- and two-stage revisions provide a successful arrest of periprosthetic infection and functional restoration of the affected joint.

Keywords

• revision arthroplasty
• hip joint
• periprosthetic infection