title: Use of an "antibiotic plate" for infected periprosthetic fracture in total hip arthroplasty.
abstract: Periprosthetic fracture and infection are dreaded complications after total hip arthroplasty. We present the case of a 50-year-old man who suffered an early postoperative Vancouver B1 periprosthetic fracture, which was further complicated by concurrent infection after open reduction and internal fixation. We report the novel use of an antibiotic-impregnated cement coated locking plate during the staged treatment of concomitant periprosthetic fracture and chronic total hip arthroplasty infection. At 1-year follow-up, the patient is pain free and ambulating independently with full range of motion.
authors.affiliation: Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ 07103, USA. liporace33@gmail.com
authors.forename: Frank A
authors.initials: FA
authors.lastname: Liporace
authors.forename: Richard S
authors.initials: RS
authors.lastname: Yoon
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Frank
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Gaines
authors.forename: James P
authors.initials: JP
authors.lastname: Maurer
authors.forename: Daniil L
authors.initials: DL
authors.lastname: Polishchuk
authors.forename: Edward W
authors.initials: EW
authors.lastname: Choung
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001843:Bone Cements; D002484:Cementation; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000150:complications / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000150:complications / Q000628:therapy*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D001843:Bone Cements