Management of Septic Arthritis of hip in preexisting inflammatory arthritis with total hip replacement

Authors

  • Rishi Bisht National Academy of Medical Sciences, National Trauma Centre, Kathmandu
  • Rajram Maharjan National Academy of Medical Sciences, National Trauma Centre, Kathmandu
  • Dipesh Pariyar National Academy of Medical Sciences, National Trauma Centre, Kathmandu

Keywords:

Inflammatory arthritis, septic arthritis, total hip replacement

Abstract

Septic arthritis is often difficult to diagnose in presence of preexisting inflammatory arthritis. The classical signs of infection are absent and it is only high index of suspicion leading to diagnosis. Our case was a 45-year-old gentleman with inflammatory arthritis and avascular necrosis of femoral head. He had been planned for left total hip replacement after pathological fracture of femoral head. Intraoperatively, it turned out to be a case of septic hip. His infection was eradicated with thorough debridement and placement of antibiotic-laden spacer. He underwent two stage hip replacement and is doing well in the subsequent follow ups.

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Published

2020-12-31

How to Cite

Bisht, R., Maharjan, R., & Pariyar, D. (2020). Management of Septic Arthritis of hip in preexisting inflammatory arthritis with total hip replacement. Nepal Orthopaedic Association Journal, 7(2), 41–44. Retrieved from https://nepjol.info/index.php/NOAJ/article/view/58364

Issue

Vol. 7 No. 2 (2020)

Section

Case Report & Review of Literature

License

Creative Commons License

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