Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint

Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint

Iliopsoas abscess is an uncommon entity that has only rarely been associated with periprosthetic hip infection; to our knowledge, these are the first reported cases in patients with metal-on-metal (MoM) hip arthroplasty. We report 2 cases of iliopsoas abscess and concomitant periprosthetic hip infec...

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Main Authors: Andrea H. Stone, MSN, CRNP, Paul J. King, MD
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:Arthroplasty Today
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344119300810
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spelling doaj-fa916edf59a44cb8b9e98204f58028822020-11-25T02:14:53ZengElsevierArthroplasty Today2352-34412019-09-0153269275Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip jointAndrea H. Stone, MSN, CRNP0Paul J. King, MD1Department of Surgical Research, Anne Arundel Medical Center, Annapolis, MD, USACenter for Joint Replacement, Anne Arundel Medical Center, Annapolis, MD, USA; Corresponding author. 2000 Medical Parkway, Suite 101, Annapolis, MD 21401, USA. Tel.: +1 410 674 1641.Iliopsoas abscess is an uncommon entity that has only rarely been associated with periprosthetic hip infection; to our knowledge, these are the first reported cases in patients with metal-on-metal (MoM) hip arthroplasty. We report 2 cases of iliopsoas abscess and concomitant periprosthetic hip infection in patients with a history of MoM hip arthroplasty. Case 1 presented with an acute infection 18 months after revision total hip arthroplasty (THA) for instability and adverse local tissue reaction after MoM THA. Case 2 presented with an acute infection in a previously well-functioning MoM THA. Both cases were treated with combined hip and retroperitoneal approaches and required more aggressive and longer treatment than is typical for periprosthetic infection, but ultimately resulted in successful revision THAs. We outline the treatment of these 2 patients and review the previously reported literature. Keywords: Hip arthroplasty, Periprosthetic infection, Psoas abscess, Metallosis, Metal bearing arthroplastyhttp://www.sciencedirect.com/science/article/pii/S2352344119300810
collection DOAJ
language English
format Article
sources DOAJ
author Andrea H. Stone, MSN, CRNP
Paul J. King, MD
spellingShingle Andrea H. Stone, MSN, CRNP
Paul J. King, MD
Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint
Arthroplasty Today
author_facet Andrea H. Stone, MSN, CRNP
Paul J. King, MD
author_sort Andrea H. Stone, MSN, CRNP
title Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint
title_short Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint
title_full Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint
title_fullStr Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint
title_full_unstemmed Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint
title_sort simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint
publisher Elsevier
series Arthroplasty Today
issn 2352-3441
publishDate 2019-09-01
description Iliopsoas abscess is an uncommon entity that has only rarely been associated with periprosthetic hip infection; to our knowledge, these are the first reported cases in patients with metal-on-metal (MoM) hip arthroplasty. We report 2 cases of iliopsoas abscess and concomitant periprosthetic hip infection in patients with a history of MoM hip arthroplasty. Case 1 presented with an acute infection 18 months after revision total hip arthroplasty (THA) for instability and adverse local tissue reaction after MoM THA. Case 2 presented with an acute infection in a previously well-functioning MoM THA. Both cases were treated with combined hip and retroperitoneal approaches and required more aggressive and longer treatment than is typical for periprosthetic infection, but ultimately resulted in successful revision THAs. We outline the treatment of these 2 patients and review the previously reported literature. Keywords: Hip arthroplasty, Periprosthetic infection, Psoas abscess, Metallosis, Metal bearing arthroplasty
url http://www.sciencedirect.com/science/article/pii/S2352344119300810
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AT pauljkingmd simultaneouscombinedretroperitonealandposteriorhipapproachforthetreatmentofiliopsoasabscesswithextensiontoametalonmetalprosthetichipjoint
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