Treatment of periprosthetic femoral fracture after cementless total hip arthroplasty with Ilizarov external fixation.
A 72-year-old woman with periprosthetic femoral fracture after cementless total hip arthroplasty (THA) underwent external fixation using the Ilizarov method. Although open reduction and internal fixation with a condylar plate system were initially attempted, deep infection with methicillin-resistant Staphylococcus aureus at the fracture site occurred 2 weeks postoperatively. Six weeks after removal of the plating system, the fracture was stabilized with external fixation using the Ilizarov method and went on to successful fusion at 3 months. To our knowledge, this is the first report in which Ilizarov external fixation has been used for periprosthetic femoral fracture after THA. Although this is a rare situation, where periprosthetic fracture and infection coexist, Ilizarov external fixation is a safe and reliable method for periprosthetic femoral fracture with infection.
Sakai
Takashi
T
Department of Orthopaedic Surgery, Osaka National Hospital, Osaka, Japan.
Ohzono
Kenji
K
Nakase
Takanobu
T
Lee
Seung Bak
SB
Manaka
Tomoya
T
Nishihara
Shunsaku
S
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D016267:External Fixators; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D011859:Radiography; D014640:Vancomycin / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D014640:Vancomycin