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Park KS, Seon JK, Nah SY, et al. Total hip arthroplasty after treatment of pseudojoint infection in a patient with a highly dislocated hip. Case Rep Orthop. 2013;2013:947121doi: 10.1155/2013/947121.
Park, K. S., Seon, J. K., Nah, S. Y., & Yoon, T. R. (2013). Total hip arthroplasty after treatment of pseudojoint infection in a patient with a highly dislocated hip. Case reports in orthopedics, 2013947121. https://doi.org/10.1155/2013/947121
Park, Kyung-Soon, et al. "Total hip arthroplasty after treatment of pseudojoint infection in a patient with a highly dislocated hip." Case reports in orthopedics vol. 2013 (2013): 947121. doi: https://doi.org/10.1155/2013/947121
Park KS, Seon JK, Nah SY, Yoon TR. Total hip arthroplasty after treatment of pseudojoint infection in a patient with a highly dislocated hip. Case Rep Orthop. 2013;2013:947121. doi: 10.1155/2013/947121. Epub 2013 Jun 25. PMID: 23878754; PMCID: PMC3708414.
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Case Rep Orthop. 2013;2013:947121. doi: 10.1155/2013/947121. Epub 2013 Jun 25.

Total hip arthroplasty after treatment of pseudojoint infection in a patient with a highly dislocated hip.

Case reports in orthopedics

Kyung-Soon Park, Jong-Keun Seon, Seon-Yoon Nah, Taek-Rim Yoon

Affiliations

  1. Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, 322 Seoyong-ro, Hwasun-eup, Hwasun-gun, Jeonnam, Chonnam 519-809, Republic of Korea.

PMID: 23878754 PMCID: PMC3708414 DOI: 10.1155/2013/947121

Abstract

Infection at the pseudoacetabulum in a patient with a high hip dislocation has not been reported previously in the English literature. We report a case of total hip arthroplasty in a 28-year-old female who presented to us with hip pain following debridement of the infected pseudojoint in a case of neglected developmental dysplasia of the hip. The infection was treated with thorough debridement and drainage. However, even after achieving complete infection control, this patient complained of disabling right hip joint pain. Total hip arthroplasty with subtrochanteric osteotomy was performed to relieve the pain and improve gait. After surgery, the patient's symptoms were relieved. We consider that in this case of acute pseudojoint infection simple arthrotomy and debridement combined with irrigation and drainage provide effective treatment. But muscle weakness and more increased joint laxity can cause hip pain even after infection control. So total hip arthroplasty is likely to be necessary after the infection has been controlled in a patient with a highly dislocated hip.

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