Successful total hip replacement follwing hip infection treatment with vastus lateralis muscle

  • Phùng Văn Tuấn Bệnh viện Trung ương Quân đội 108
  • Lê Hồng Hải Bệnh viện Trung ương Quân đội 108
  • Nguyễn Quốc Dũng Bệnh viện Trung ương Quân đội 108
  • Ngô Thái Hưng Bệnh viện Trung ương Quân đội 108

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Keywords

Revision total hip replacement, vvastus lateralis muscle flap, hip infections

Abstract

A 50 year-male patient, who had persistent hip deep infections after arthroplasty of the right hip, was treated by filling the pedicle vastus lateralis muscle flap into the acetabular. The infection was stable for 5 months, so we decided to revise cementless total hip replacement with multiple-holes acetabular and long stem, using the posterior approach and preservation of muscle flap. The results were: good incission healing, no pain, normal CRP and ESR, walking without crutches, leg discrepancy of 1cm, M5 thigh muscle strength, Harris score was 87 points (good). Thus, a patient, who had of persistent hip deep infections after Arthroplasty was treated successflully by filling the pedicle vastus lateralis muscle flap into the acetabular. When the infection to be treated stably (good scar healing, normal CRP and ERS), we could revise total hip replacement with multiple-holes acetabular and long stem, using the posterior approach and preservation of muscle flap

Article Details

References

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Published
Apr 1, 2021
DOI: https://doi.org/10.52389/ydls.v16iDB4.1009
Issue
Volume 16 - Special Issue 4/2021: Scientific Conference on the 70th anniversary of 108 Military Central Hospital, 2021
Section
Articles
How to Cite
TuấnP. V., HảiL. H., DũngN. Q., & Hưng N. T. (2021). Successful total hip replacement follwing hip infection treatment with vastus lateralis muscle. Tạp Chí Y Dược lâm sàng 108, 16(DB4). https://doi.org/10.52389/ydls.v16iDB4.1009