Thursday 17 May 2012

infected MOM bearing THR

6 years post MOM bearing presented with infected THR(psuedomonas).   The cup became vertical a year ago. Patient continued visiting various hospital and was put ion oral antibiotic. Stage 1  excision arthroplasty with HAP granules soaked in antibiotic(vancomycin) and 6 weeks of IV antiobiotics were administered
Stage 2 revision with trabecular metal augment and trabecular metal cup and wagner  stem with ceramic on poly bearing
at

1 comment:

  1. Dr Hitesh Gopalan20 May 2012 at 22:45

    Sir, any particular reason on why a Cement spacer was not used. I am aware of your interest in Antibiotic coated HAP granules, I remember that you even asked Ranawat about use of HAP. Do we have a sound literature back up for the HAP granules.

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