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Persistent Pain and Purulent Discharge: A Case of Infected Bipolar Hemiarthroplasty
Kevin Kawde1, Gajanan Pisulkar1, Ankur Salwan1
1Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Abstract:
Prosthetic joint infection (PJI) remains a significant complication following joint arthroplasty, necessitating prompt recognition and intervention to optimize patient outcomes. This case report describes a 65-year-old male who presented with persistent pain, swelling, and purulent discharge from the right hip, three years post-bipolar hemiarthroplasty following a road traffic accident. Clinical examination revealed signs suggestive of PJI, prompting surgical intervention with total hip arthroplasty. Postoperatively, the patient experienced resolution of symptoms and satisfactory recovery. This case underscores the challenges associated with infected joint arthroplasty and highlights the importance of a multidisciplinary approach for effective management. Early diagnosis, appropriate surgical intervention, and comprehensive postoperative care are essential for minimizing morbidity associated with PJIs and optimizing patient outcomes.
Insights
Prosthetic joint infection (PJI) is a serious complication after joint replacement surgery. Prompt diagnosis and treatment, including revision surgery, are crucial for successful recovery and minimizing patient morbidity.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Biomedical Engineering
Background:
- Prosthetic joint infection (PJI) is a significant complication following joint arthroplasty.
- Timely recognition and intervention are critical for optimal patient outcomes.
Observation:
- A 65-year-old male presented with symptoms of right hip PJI three years after bipolar hemiarthroplasty.
- Clinical signs included persistent pain, swelling, and purulent discharge.
Findings:
- Surgical intervention with total hip arthroplasty was performed.
- The patient experienced symptom resolution and satisfactory recovery postoperatively.
Implications:
- This case highlights the challenges in managing infected joint arthroplasty.
- A multidisciplinary approach, early diagnosis, and appropriate surgical intervention are essential for managing PJIs.
- Comprehensive postoperative care is vital for minimizing morbidity and optimizing outcomes.
