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Z Orthop Unfall 2023; 161(06): 678-682
DOI: 10.1055/a-1754-0051
Case Report

Therapy of a Chronically Infected Total Femur Prothesis in a 40-year-old Patient

Article in several languages: deutsch | English
Julia Elisabeth Lenz 
1   Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
,
Florian Baumann
1   Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
,
Volker Alt
1   Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
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Abstract

We report a case of a patient who was treated in 1999 at the age of 19 years with a proximal femur replacement due to Ewing sarcoma. After several infection-associated exchange procedures, the patient presented with a fistula and chronic infection of a total femur prosthesis in August 2019 at the age of 40 years. Interdisciplinary treatment with a 3-stage exchange procedure and implantation of a silver-coated total femur prosthesis was successfully performed and hip disarticulation could be avoided. After a follow-up of 2 years, the patient showed uneventful wound healing and full weight bearing without crutches.

Keywords

periprosthetic infection - PJI - Ewing sarcoma - silver coating - total femur


Publication History

Received: 20 November 2021

Accepted after revision: 27 January 2022

Article published online:
04 April 2022

© 2022. Thieme. All rights reserved.

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