Satisfactory Outcome for a Challenging Case of Infected Native Pelvic Discontinuity with Significant Bone Loss: A Case Report. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Hafez, Mahmoud A.; Makram, Omar Mohamed; Seth, Vikas J.
• Is Part Of: JBJS case connector. Volume 11:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: pelvic discontinuity -- Mexican hat -- computer-assisted orthopedic surgery -- patient-specific instruments -- total hip replacement; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00365
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: This is a challenging case of infected native pelvic discontinuity with massive acetabular bone loss. The infection was persistent despite repeated debridement. A new technique of articulated antibiotic spacer plus Mexican hat antibiotic spacer has been used. A triflanged custom-made implant was used in the second-stage surgery. The 2-year follow-up showed no recurrence of infection and no loosening. Conclusion: Using a Mexican hat spacer is a good option when there is a massive bone loss medially. Custom-made triflanged cup showed to be a viable treatment modality for infected pelvic discontinuity despite the cost of the implant.