Fabio Zanchini, Cipolloni Valerio, Nasto Luigi Aurelio, Lucchesi Salvatore, Piscopo Davide, Fusini Federico, Vitiello Raffaele, Cacciapuoti Stefano, Pola Enrico
Clinical Orthopaedics, Department of Orthopaedics and Traumatology, University of Campania "Luigi Vanvitelli", Naples, 80129 Italy.
Spine Division, Department of Orthopaedics and Traumatology, A. Gemelli IRCCS University Hospital, Catholic University of Rome, Largo Francesco Vito 1, 00168, Rome, Italy.
Orthop Rev (Pavia). 2022 Aug 13;14(3):37749. doi: 10.52965/001c.37749. eCollection 2022.
The Authors describe a case of rapid right hip destructive septic arthritis in a 50-year-old male patient with no previous noteworthy medical history. Patient arrived to our attention following a one week history of right hip pain. Laboratory markers and imaging at presentation were negative. However, on a follow-up examination significant joint effusion was noted and joint tap was performed. Despite wide spectrum antibiotic therapy institution, significant joint damage was observed. This required surgical femoral head excision with antibiotic loaded spacer, followed by hip arthroplasty surgery 12 weeks afterwards. Complete healing of the infection and recovery of pain-free joint motion was noted at 1 year follow-up.
作者描述了一例50岁男性患者的快速进展性右髋关节破坏性化脓性关节炎，该患者既往无显著病史。患者因右髋疼痛一周前来就诊。就诊时实验室指标和影像学检查均为阴性。然而，在后续检查中发现了明显的关节积液，并进行了关节穿刺。尽管给予了广谱抗生素治疗，但仍观察到明显的关节损伤。这需要进行带抗生素骨水泥间隔物的股骨头切除术，随后在12周后进行髋关节置换手术。在1年的随访中，感染完全愈合，无痛关节活动恢复。
