Trochanteroplasty for the Treatment of Uncontrolled Infected Total Hip Arthroplasty - A Case Report -

Abstract

Implant removal is a recognized mandatory procedure for the treatment of infected total hip arthroplasty (THA). After the implant removal, the surgeon has two surgical options; one-stage exchange arthroplasty or two-stage exchange arthroplasty. However, Girdle stone resection arthroplasty becomes the reasonable surgical option when a patient is considered to be able to tolerate both operations aforementioned but with bone stock inadequate for reconstructive surgery. Trochanteroplasty is a procedure, usually used in septic infant hips to salvage femoral-pelvic articulation, to redirect the cartilage of the trochanteric apophysis and provide a substitute for the absence of a femoral head, in the expectation that the greater trochanter will remodel to the shape of the acetabulum. Dobbs et al. concluded that trochanteroplasty can provide a stable, painless, functional hip, with improved gait and less leg-length discrepancy than predicted when no reconstructive effort is attempted. The authors describe a case of revision THA performed 4 years after trochanteroplasty for uncontrolled infected THA in a 65-year-old male patient, and provided a review of pertinent English literature. The patient was informed that his case data would be submitted for publication, and provided consent.