ISSN: 1859 - 2872
Successful total hip replacement follwing hip infection treatment with vastus lateralis muscle
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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
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References
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