Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect

Abstract. Purpose To demonstrate the need for a multidisciplinary approach to the treatment of patients with deep periprosthetic joint infection (PJI) and emphasize the importance of preoperative preparation and well-coordinated work of related specialists using a specific clinical instance. Case r...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sergei T. Ivanian, Stanislav V. Basov, Nikolai O. Gritsuk, Vladimir A. Pronin, Sergei N. Tikhonenko
Formato:	article
Lenguaje:	EN RU
Publicado:	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2021
Materias:	total hip arthroplasty periprosthetic joint infection urinary bladder defect two stage revision arthroplasty 3d technologies Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/a75a655ee5dc4e859d7ce2bf87c49b83
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a75a655ee5dc4e859d7ce2bf87c49b83
record_format	dspace
spelling	oai:doaj.org-article:a75a655ee5dc4e859d7ce2bf87c49b832021-11-15T10:11:57ZTwo-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect10.18019/1028-4427-2021-27-5-587-5911028-44272542-131Xhttps://doaj.org/article/a75a655ee5dc4e859d7ce2bf87c49b832021-10-01T00:00:00Zhttps://doaj.org/toc/1028-4427https://doaj.org/toc/2542-131XAbstract. Purpose To demonstrate the need for a multidisciplinary approach to the treatment of patients with deep periprosthetic joint infection (PJI) and emphasize the importance of preoperative preparation and well-coordinated work of related specialists using a specific clinical instance. Case report Reported is a successful experience of two-stage treatment of the patient with hip PJI complicated with urinary bladder defect. A 40-year old male patient diagnosed with left-sided deep hip PJI Tsukayama type 3 was treated at department of infection surgery, Rostov Regional Clinical Hospital No. 2 in January 2019. Total hip arthroplasty performed in 2008 was complicated by migration of acetabulum component. A retroperitoneal bladder defect (pressure ulcer) was detected during the first stage of resection arthroplasty and placement of an antibacterial spacer. Urological procedure was performed in a delayed manner due to technical difficulties of implant removal, prolonged and traumatic procedure, and high blood loss. With the patient's condition stabilized cystoscopy and bilateral ultrasound guided percutaneous nephroureterostomy were performed. Prolonged antibacterial aetiotropic treatment was administered. The second stage of surgical treatment included revision hip arthroplasty using a tailored acetabular component and a standard revision femoral component performed at 6 months of debridement. Results Short- and long-term results were good with sustained remission achieved. Patient could walk unassisted using a cane and had a satisfactory ROM in the left hip with HHS scored 76.255. Conclusion Multiple disciplinary teamwork is appropriate for treatment of deep PJI with much coherence, coordinated efforts and expertise from diverse professionals.Sergei T. IvanianStanislav V. BasovNikolai O. GritsukVladimir A. ProninSergei N. TikhonenkoRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedicsarticletotal hip arthroplastyperiprosthetic joint infectionurinary bladder defecttwo stage revision arthroplasty3d technologiesOrthopedic surgeryRD701-811ENRUГений oртопедии, Vol 27, Iss 5, Pp 587-591 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	total hip arthroplasty periprosthetic joint infection urinary bladder defect two stage revision arthroplasty 3d technologies Orthopedic surgery RD701-811
spellingShingle	total hip arthroplasty periprosthetic joint infection urinary bladder defect two stage revision arthroplasty 3d technologies Orthopedic surgery RD701-811 Sergei T. Ivanian Stanislav V. Basov Nikolai O. Gritsuk Vladimir A. Pronin Sergei N. Tikhonenko Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect
description	Abstract. Purpose To demonstrate the need for a multidisciplinary approach to the treatment of patients with deep periprosthetic joint infection (PJI) and emphasize the importance of preoperative preparation and well-coordinated work of related specialists using a specific clinical instance. Case report Reported is a successful experience of two-stage treatment of the patient with hip PJI complicated with urinary bladder defect. A 40-year old male patient diagnosed with left-sided deep hip PJI Tsukayama type 3 was treated at department of infection surgery, Rostov Regional Clinical Hospital No. 2 in January 2019. Total hip arthroplasty performed in 2008 was complicated by migration of acetabulum component. A retroperitoneal bladder defect (pressure ulcer) was detected during the first stage of resection arthroplasty and placement of an antibacterial spacer. Urological procedure was performed in a delayed manner due to technical difficulties of implant removal, prolonged and traumatic procedure, and high blood loss. With the patient's condition stabilized cystoscopy and bilateral ultrasound guided percutaneous nephroureterostomy were performed. Prolonged antibacterial aetiotropic treatment was administered. The second stage of surgical treatment included revision hip arthroplasty using a tailored acetabular component and a standard revision femoral component performed at 6 months of debridement. Results Short- and long-term results were good with sustained remission achieved. Patient could walk unassisted using a cane and had a satisfactory ROM in the left hip with HHS scored 76.255. Conclusion Multiple disciplinary teamwork is appropriate for treatment of deep PJI with much coherence, coordinated efforts and expertise from diverse professionals.
format	article
author	Sergei T. Ivanian Stanislav V. Basov Nikolai O. Gritsuk Vladimir A. Pronin Sergei N. Tikhonenko
author_facet	Sergei T. Ivanian Stanislav V. Basov Nikolai O. Gritsuk Vladimir A. Pronin Sergei N. Tikhonenko
author_sort	Sergei T. Ivanian
title	Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect
title_short	Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect
title_full	Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect
title_fullStr	Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect
title_full_unstemmed	Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect
title_sort	two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect
publisher	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
publishDate	2021
url	https://doaj.org/article/a75a655ee5dc4e859d7ce2bf87c49b83
work_keys_str_mv	AT sergeitivanian twostagetreatmentofhipperiprostheticjointinfectioncomplicatedwithretroperitonealurinarybladderdefect AT stanislavvbasov twostagetreatmentofhipperiprostheticjointinfectioncomplicatedwithretroperitonealurinarybladderdefect AT nikolaiogritsuk twostagetreatmentofhipperiprostheticjointinfectioncomplicatedwithretroperitonealurinarybladderdefect AT vladimirapronin twostagetreatmentofhipperiprostheticjointinfectioncomplicatedwithretroperitonealurinarybladderdefect AT sergeintikhonenko twostagetreatmentofhipperiprostheticjointinfectioncomplicatedwithretroperitonealurinarybladderdefect
_version_	1718428452186488832

Two-stage treatment of hip periprosthetic joint infection complicated with retroperitoneal urinary bladder defect

Ejemplares similares