title: Hip rotationplasty with antibiotic-loaded bone cement spacer for severe infection following limb-sparing surgery.
abstract: Knee rotationplasty was initially proposed for the reconstruction of the knee joint in the congenital hypoplasia of the femur. Its application was extended to functional reconstruction of the knee joint after wide resection of malignant bone or soft tissue tumor around the knee. It has also been shown to salvage a failed knee-sparing surgery due to infection or the aseptic loosening of the prosthesis. Hip rotationplasty has been described as a method for the reconstuction of hip function, as well as in the knee joint, in the case of a primary malignant tumor of the proximal part of the femur in children. It has also been described as having a surgical application for the severe congenital deficiency of the proximal part of the femur to reconstruct hip and knee joints, as well as for the massive bone defect of the proximal part of the femur due to infection to mimic a functional femoral shaft. This article reports a case where the hip joint was secondarily reconstructed with hip rotationplasty after subtotal resection of the femur due to infection of the hip hemiarthroplastic prosthesis and osteomyelitis of the hip joint and femur.
authors.affiliation: Department of Orthopedic Surgery, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1, Sakamoto, Nagasaki-city, 852-8501, Nagasaki, Japan.
authors.forename: Narihiro
authors.initials: N
authors.lastname: Okazaki
authors.forename: Kenji
authors.initials: K
authors.lastname: Kumagai
authors.forename: Masayuki
authors.initials: M
authors.lastname: Egashira
authors.forename: Makoto
authors.initials: M
authors.lastname: Osaki
authors.forename: Masakazu
authors.initials: M
authors.lastname: Murata
authors.forename: Masato
authors.initials: M
authors.lastname: Tomita
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shindo
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001178:Arthroplasty / Q000295:instrumentation / Q000379:methods*; D001843:Bone Cements / Q000627:therapeutic use*; D004343:Drug Implants / Q000008:administration & dosage*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000517:prevention & control*; D012086:Reoperation / Q000379:methods; D013203:Staphylococcal Infections / Q000209:etiology* / Q000517:prevention & control*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements; D004343:Drug Implants