Treatment of Periprosthetic Tuberculous Infection of Total Hip Arthroplasty with Long Term Medication without Implant Removal.

Author: Taek Rim YOON ¹ ; Kyung Soon PARK ; Ha Sung KIM ; Chang Sun OH ; Seung Hun LEE
Author Information

1. Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Jeonnam, Korea. tryoon@chonnam.ac.kr
Publication Type:Case Report
Keywords: Periprosthetic tuberculous infection; Total hip arthroplasty; Antituberculous medication; Without implant removal
MeSH: Arthroplasty; Arthroplasty, Replacement; Arthroplasty, Replacement, Hip*; Debridement; Hip*; Humans; Incidence; Joints; Prostheses and Implants
From:Hip & Pelvis 2013;25(3):226-231
CountryRepublic of Korea
Language:English
Abstract: Periprosthetic joint infection is one of the most dreaded complications of replacement arthroplasty and the incidence of periprosthetic tuberculous infections is increasing. This report presents a case of extensive periprosthetic tuberculous infections of primary total hip arthroplasty which was treated with debridement and long periods of antituberculous medication without implant removal. The patient completed 18 months of 4 drug antituberculous chemotherapy and the plain radiograph on the last review showed new bony consolidation around the prosthesis without loosening or signs of reactivation.