One-stage revision of an infected cementless total hip replacement

Michael G. Ficklin; Michael P. Kowaleski; Kevin A. R. Kunkel; Jonathan T. Suber

doi:10.3415/VCOT-16-01-0004

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2016; 29(06): 541-546
DOI: 10.3415/VCOT-16-01-0004

Case Report

Schattauer GmbH

One-stage revision of an infected cementless total hip replacement

Michael G. Ficklin

¹VCA Animal Specialty Center of South Carolina, Columbia, SC, USA

,

Michael P. Kowaleski

²Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA, USA

,

Kevin A. R. Kunkel

¹VCA Animal Specialty Center of South Carolina, Columbia, SC, USA

,

Jonathan T. Suber

¹VCA Animal Specialty Center of South Carolina, Columbia, SC, USA

› Author Affiliations

Abstract

Summary

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.

Keywords

Silver - single stage revision - resistant infection - total hip replacement - canine - dog

Full Text

References

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