title: Colo-articular fistula following a Girdlestone resection arthroplasty.
abstract: Colo-articular fistulas are rare complications that are usually associated with inflammatory, infective or malignant bowel disease. We report the case of a 44-year-old male who was found to have a colo-articular fistula intra-operatively during the washout of a septic hip joint. The patient had no pre-existing bowel disease, but was an intravenous drug user, who had previously undergone a Girdlestone procedure for osteomyelitis of the proximal femur. The patient was managed through a multi-disciplinary team approach with subsequent debridement and formation of a transverse loop colostomy to control the faeculent fistulous discharge.
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Basildon and Thurrock University Hospital, Basildon, Essex, UK ibraheimel-daly@nhs.net.
authors.forename: Ibraheim
authors.initials: I
authors.lastname: El-Daly
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Basildon and Thurrock University Hospital, Basildon, Essex, UK.
authors.forename: Brenavan
authors.initials: B
authors.lastname: Natarajan
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Basildon and Thurrock University Hospital, Basildon, Essex, UK.
authors.forename: Karthig
authors.initials: K
authors.lastname: Rajakulendran
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Basildon and Thurrock University Hospital, Basildon, Essex, UK.
authors.forename: Sean
authors.initials: S
authors.lastname: Symons