Two-stage Partial Component Retention and Interim Cemented Liner for Infected Total Hip Arthroplasty: A Case Report

J Orthop Case Rep. 2023 Oct;13(10):6-10. doi: 10.13107/jocr.2023.v13.i10.3914.

Abstract

Introduction: There is interest in partial exchange for infected total hip arthroplasty, as an alternative to complete removal of components in a traditional two-stage revision. Partial exchange avoids the difficulty of removing a well-fixed component and its associated bone loss.

Case report: We report a case of a 61-year-old male patient with an infected total hip arthroplasty, who underwent a two-stage partial exchange, with retention of the well-fixed femoral stem, and an interim cemented liner. He had excellent function and no infection recurrence at 4 years of follow-up.

Conclusion: Two-stage partial exchange with interim cemented liner could be an effective option for infected total hip arthroplasty.

Keywords: Infection; component retention; partial exchange; prosthetic joint infection; total hip arthroplasty; two-stage revision.

Publication types

  • Case Reports