title: Deep wound infection after a trochanteric fracture internal fixation presenting with hip dislocation: a case report.
abstract: We report a rare case of posterior hip dislocation after a low energy trauma. The patient sustained a trochanteric fracture in the same hip six months ago, which was fixed using a sliding hip screw and had healed. At surgery a deep wound infection was found and a methicillin-resistant Staphylococcus epidermidis (MRSE) was cultured. After thorough debridement, an excisional arthroplasty was decided. The patient received specific intravenous antibiotics and after six weeks a total hip arthroplasty was done. In three years follow-up the patients presented with a fully functional hip without any signs of infection. Hip dislocation after a trochanteric fracture internal fixation is rare complication associated with high morbidity and mortality. Infection eradication and a second stage arthroplasty can be life and limb saving.
authors.affiliation: 1st Orthopaedic Department of 'Evaggelismos' General Hospital, Athens, Greece. manolismorakis@hotmail.com.
authors.forename: Matheus
authors.initials: M
authors.lastname: Tzurbakis
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Morakis
authors.forename: Georgios
authors.initials: G
authors.lastname: Mouzopoulos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Lasanianos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Georgilas