Resection Arthroplasty Treatment Possibility for a Patient with Fibrous Dysplasia, Chronic Osteomyelitis, and Recurrent Periprosthetic Hip Joint Infection: A Case Report

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Introduction: Fibrous dysplasia (FD) is a rare congenital abnormality, in which parts of bone are replaced with fibrous stroma and woven bone, making it susceptible to pathological fractures. Osteomyelitis following intramedullary nailing of such fractures of the femur and periprosthetic joint infection (PJI) after hip arthroplasty is one of the most devastating complications and a true challenge for the orthopedic surgeon. To the best of our knowledge, this is the 1st time, such complications are reported in a patient with monostotic FD.

    Case Report: We present a 30-year-old male patient with FD of the left femur, chronic osteomyelitis, recurrent periprosthetic hip joint infection after multiple revision arthroplasties, and two episodes of axillary vein thrombosis. Due to the severe structural changes and a large medial wall defect in the proximal femur with impairment of a large soft tissue zone, it was decided during operation not to put any other implants in the hip joint and perform only a resection hip arthroplasty procedure.

    Conclusion: Managing a recurrent PJI in a patient with poor bone quality, severe bone defects, soft tissue compromise, and thromboembolic events is challenging even for the most experienced orthopedic surgeon. Resection arthroplasty is a salvage treatment option that should be considered in such complex cases.

    Original languageEnglish
    Pages (from-to)54-57
    Number of pages4
    JournalJournal of orthopaedic case reports
    Volume9
    Issue number4
    DOIs
    Publication statusPublished - 2019

    Keywords

    • Fibrous dysplasia
    • osteomyelitis
    • , periprosthetic joint infection

    Field of Science

    • 3.2 Clinical medicine

    Publication Type

    • 1.1. Scientific article indexed in Web of Science and/or Scopus database

    Fingerprint

    Dive into the research topics of 'Resection Arthroplasty Treatment Possibility for a Patient with Fibrous Dysplasia, Chronic Osteomyelitis, and Recurrent Periprosthetic Hip Joint Infection: A Case Report'. Together they form a unique fingerprint.

    Cite this