title: Ischial weight-bearing brace after the infection of megaprosthesis a salvage method for resection arthroplasty.
abstract: We report a case of successful control of the infection of megaprosthesis in the distal femur. Deep infection occurred 5 years after the resection of the osteosarcoma and reconstruction with cementless megaprosthesis. Multiple debridement and intravenous administration of antibiotics did not eradicate the infection. He developed aortitis syndrome (Takayasu's arteritis) and needed to undergo steroid therapy. Total removal of the prosthesis achieved good control of the infection, and the patient had started prednisolone therapy. The patient can walk alone with an ischial weight-bearing brace. Removal of the endoprosthesis and application of ischial weight-bearing brace may be a possible option for the treatment of infected megaprosthesis.
authors.affiliation: Division of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Niigata University, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Ogose
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Hotta
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kawashima
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Kawaji
authors.forename: Naoto
authors.initials: N
authors.lastname: Endo
mesh_terms: D000328:Adult; D001915:Braces; D004867:Equipment Design; D005269:Femur / Q000601:surgery*; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D008297:Male; D016459:Prosthesis-Related Infections / Q000628:therapy*; D016879:Salvage Therapy; D013203:Staphylococcal Infections / Q000628:therapy*; D013212:Staphylococcus epidermidis; D016474:Weight-Bearing