A technique for treating periprosthetic fractures of the femur associated with deep prosthetic infection.
In this report a case of periprosthetic fracture of the femur associated with deep prosthetic infection after a total hip arthroplasty is treated in a novel way that allows for stabilization of the fracture and the delivery of local antibiotics. The technique allows the surgeon to stabilize the fracture and deliver antibiotics locally with a cement-coated Enders nail. This technique is useful in this combination of difficult problems as it facilitates the goals of eradicating infection, alleviating pain and improving function.
Schwab
Joseph H
JH
Department of Orthopaedics, Mayo Clinic, Rochester, Minnesota 55905, USA.
Pagnano
Mark
M
Haidukewych
George J
GJ
Trousdale
Robert
R
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects; D001843:Bone Cements / Q000627:therapeutic use*; D001858:Bone Nails; D016503:Drug Delivery Systems / Q000295:instrumentation* / Q000379:methods; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000188:drug therapy* / Q000209:etiology / Q000601:surgery; D014031:Tobramycin / Q000008:administration & dosage*; D016896:Treatment Outcome; D014640:Vancomycin / Q000008:administration & dosage*
D000900:Anti-Bacterial Agents; D001843:Bone Cements; D014640:Vancomycin; D014031:Tobramycin