Patient 1 was a 59-year-old Caucasian man who had surgery on the right hip. The paired components in the initial surgery were ceramic-on-ceramic, and the reason for revision was a fracture of the inlay. He received a titanium sleeve size L, and no additional screws were required. His HHS increased from 31 before surgery to 90 at his 2-year follow-up visit. His VAS score for pain improved from 7.5 to 2.5, and his VAS score for satisfaction decreased from 9.5 to 3.5. The VAS satisfaction result of this patient should be treated with caution. Because of impaired mental status, he was not able to objectively report the outcome of the surgery. No heterotopic ossification was observed.
A 59-year-old female patient was admitted to our clinic for PJI after surgeries at different centers including hemiarthroplasty, total hip arthroplasty [], and finally total hip revision arthroplasty [] due to femoral neck fracture. On admission, direct graph [] and blood examinations were assessed (hemoglobin: 13.6, white blood cell count: 12.92, erythrocyte sedimentation rate [ESR]: 48, and C-reactive protein [CRP]: 282) and a two-stage revision was planned. Intraoperative extensive apses were observed. All necrotic bone and infected soft tissues were removed and radical debridement was performed. Soft tissues were sent from neighboring implant areas for microbiological culture analysis. Since acetabular cup was well fixed and it had a thin cortical continuity around, only screws and polietilen insert were removed not to cause additional bone defect. Since the femoral stem was too long and seemed well fixed to the bone, the femoral stem was not removed by the surgeon. All the implants left were covered with cement (40g Implantcast) mixed with antibiotics (teicoplanin 400 mg Sanofi-Aventis) [Figure and ]. In tissue culture analysis, there was no reproduction; however, due to high infection markers and intraoperative apses appearance, infectious diseases’ specialist started teicoplanin 800 mg/day (Targocid 400 mg Sanofi-Aventis). The second stage of revision was performed after ESR, and C-RP controls were seen to become normal at the end of 8 weeks [].