Chewakidakarn Chulin, Nawatthakul Anuchit, Suksintharanon Methasit, Yuenyongviwat Varah
Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla, 90110, Thailand.
Int J Surg Case Rep. 2019;57:167-169. doi: 10.1016/j.ijscr.2019.03.016. Epub 2019 Apr 4.
Femoral neck fracture is common in the elderly, especially in the era of aging populations. Septic arthritis of the hip after femoral neck fracture is a rare complication. There are limited reports on this complication especially in patients without a severe medical condition and there is no consensus on the method of treatment of this complication.
A 75-year-old male had right hip pain for two weeks after falling on his right hip. The patient was diagnosed as pathological fracture with hematologic malignancy. He was scheduled for bipolar hemiarthroplasty. However, an intraoperative finding found that the hip joint was filled with pus. The treatment was successful with a two-stage procedure. The first stage was implantation of an antibiotic cement spacer and the second stage was total hip replacement.
Septic arthritis following femoral neck fracture is a complication which requires special attention for the diagnosis and treatment. Increasing hip pain or the developing signs of infection in patients awaiting surgery may indicate infection in the hip. The two-stage procedure is the treatment of choice in this condition.
股骨颈骨折在老年人中很常见，尤其是在人口老龄化的时代。股骨颈骨折后髋关节感染性关节炎是一种罕见的并发症。关于这种并发症的报道有限，特别是在没有严重基础疾病的患者中，并且对于这种并发症的治疗方法尚无共识。
一名75岁男性在右髋部摔倒后右髋部疼痛两周。该患者被诊断为血液系统恶性肿瘤导致的病理性骨折。他计划接受双极半髋关节置换术。然而，术中发现髋关节充满脓液。通过两阶段手术治疗成功。第一阶段是植入抗生素骨水泥间隔物，第二阶段是全髋关节置换。
股骨颈骨折后感染性关节炎是一种在诊断和治疗上需要特别关注的并发症。等待手术的患者髋部疼痛加剧或出现感染迹象可能提示髋关节感染。在这种情况下，两阶段手术是首选的治疗方法。
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