67 year old physically active gentlemen presented with an infected THR 3 months post fracture neck .Hip aspiration grew sensitive staph aureus. A one stage revision was planned in the absence of Sinuses and Diabetes. To deliver local antibiotic loaded stimulan beads were inserted into the femoral canal and a modular titanium finned straight stem was used to allow local delivery of antibiotic within the fins. Below in 11 year followup x-ray when he consulted us for spine related pain.
One stage revision is viable in a non-immunocompromised host and a sensitive bug reducing inpatient morbidity
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