A Coxoperitoneal Shunt as Salvage for a Recurrent Giant Seroma of the Hip After Periprosthetic Joint Infection: A Case Report. Issue 3 (July 2021)

• Record Type: Journal Article
• Authors: Lehnen, Aude; Wyss, Roland; Meier, Christoph; Kalberer, Fabian; Breitenstein, Stefan; Wahl, Peter
• Is Part Of: JBJS case connector. Volume 11:Issue 3(2021)
• Publication Date: 2021-07
• Subjects: resection arthroplasty -- Girdlestone -- periprosthetic joint infection -- PJI -- shunt -- seroma; 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.20.00931
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A giant seroma developed in the hip of a 44-year-old man after resection arthroplasty performed for recurrent periprosthetic joint infection (PJI). The seroma persisted despite joint reconstruction but was ultimately treated successfully by internal drainage through a coxoperitoneal shunt. Conclusion: Resection arthroplasty of the hip is considered a salvage procedure for failed implant retention in the situation of persistent PJI. Nevertheless, functional results are poor and further soft-tissue complications may occur. A giant seroma of the hip may be drained into the peritoneal cavity, permitting healing without risking contamination from external, percutaneous drainage.