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

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

Publikationsverlauf

Eingereicht: 20. November 2021

Angenommen nach Revision: 27. Januar 2022

Artikel online veröffentlicht:
04. April 2022

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