Peer-reviewed veterinary case report
One-stage surgery fixed infected hip implant in dog
By Ficklin, Michael G et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2016·View original on PubMed →
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Original publication title: One-stage revision of an infected cementless total hip replacement.
- Species:
- dog
Plain-English summary
A 2-year-old dog weighing 44 kg had a total hip replacement but developed a serious infection and implant loosening eight months later. Tests showed the infection was caused by a resistant bacteria. The veterinarian performed a one-stage revision surgery using special implants and treated the area with an antibiotic-infused cement. After 27 months, the dog was doing well, showing no signs of lameness, and follow-up X-rays confirmed that the implants were stable and healing properly.
People also search for: dog hip replacement infection · dog lameness after surgery · total hip replacement revision in dogs
Abstract
A two-year-old, 44 kg dog with a right Helica cementless total hip replacement (THR) was radiographically diagnosed with implant loosening eight months after the index total hip replacement procedure. Subsequent synoviocentesis and synovial fluid culture revealed a methicillin-resistant coagulase-negative Staphylococcus spp infection of the right THR. A one-stage revision using a hybrid BFX cementless acetabular cup and CFX cemented femoral stem was performed. Vancomycin and micro-silver antimicrobial powder impregnated cement were used in the revision. At re-evaluation 27 months following the revision procedure, the patient did not exhibit any signs of lameness. Radiographic images confirmed stable implants, with bone ingrowth into the cup and no signs of implant loosening. Our report demonstrates the success of a one-stage THR revision when faced with a multi-drug resistant periprosthetic infection, when combined with the use of micro-silver antimicrobial powder and culture-based antibiotic impregnated cement therapy.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/27761578/