Peer-reviewed veterinary case report
Dog with infected hip implant treated without removal using
By Dan, B J et al.·Published in The Journal of small animal practice·2014·Department of Small Animal Clinical Sciences, United States·View original on PubMed →
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Original publication title: Management of an infected cementless cup with prosthetic retention and antibiotic therapy in a dog.
- Species:
- dog
Plain-English summary
A 2-year-old Rottweiler was brought in for sudden limping on the right back leg, occurring 20 weeks after a hip replacement surgery. X-rays showed some changes around the hip joint, and tests indicated inflammation in the joint fluid. The vet performed surgery to clean the area and treated the dog with antibiotics, without removing the hip implant. After two months, the dog's limping improved, and 20 months later, he was back to normal exercise with no signs of problems.
People also search for: dog limping after hip surgery · Rottweiler hip replacement infection treatment · antibiotics for dog joint infection
Abstract
A two-year-old Rottweiler presented for acute onset of a right hindlimb lameness 20 weeks after a cementless total hip replacement (THR) and 16 weeks after open reduction to address luxation of the THR. Radiographs revealed periosteal proliferation of the medial acetabulum and a stable implant. Synovial fluid cytology was consistent with inflammatory joint fluid. Treatment consisted of surgical debridement and intravenous and oral antibiotics. THR implants were not removed. Culture of tissue removed from the THR site yielded growth of Pseudomonas and Staphylococcus species. Lameness resolved 2 months after surgery. Twenty months after surgery, the dog was exercising normally with no clinical lameness and pelvic radiographs revealed no evidence of implant loosening and markedly decreased periosteal reaction. To the authors' knowledge, this is the first report of an infected THR site successfully treated without prosthesis explantation in the dog.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25109636/