Management of Infected Total Hip Replacement in A Patient of Bilateral Severe Osteoarthritis

Abstract

A 53-year-old housewife with a 12-month history of progressively worsening pain in both hips and inability to walk, underwent THR Right hip in 2004, which got infected and was subsequently removed after 4 months. Acetabular cup was not removed. She came to Apollo Hyderabad in December 2005. Clinical examination revealed persistent discharging sinus in right hip with grossly painful right hip movements. Right hip debridement, removal of acetabular cup & cement with instillation of Gentamycin beads was done. Considering severe Osteoarthritic changes in the left hip, confirmed by clinical and radiological examination, Left THR was done 3 weeks later. Subsequently, revision Right THR was done 3 weeks later after confirmation of infection free status by clinical, radiological & haematological parameters. She is doing well and is walking without support at 3 years folllow up. This interesting case report illustrates the management of painful bilateral Osteoarthritis of the hip with an infected total hip prosthesis in situ on one side.