Revision of infected hip arthroplasty in a patient with a history of acetabular fracture: Case report

Authors

  • Juan Pablo Suescún Moreno Orthopedic traumatologist. Specialist in Training
  • William Arbeláez Arbeláez Orthopedic traumatologist. Director, Specialization Program in Reconstructive Hip Surgery and Hip and Knee Joint Replacement, Universidad Militar Nueva Granada. Head, Hip Clinic, Orthopedics and Traumatology Service, Hospital Militar Central, Bogotá, Colombia.
  • Jorge Sierra Orthopedic traumatologist. Specialist in Training, Specialization Program in Reconstructive Hip Surgery and Hip and Knee Joint Replacement, Universidad Militar Nueva Granada. Orthopedics and Traumatology Service, Hospital Militar Central, Bogotá, Colombia.
  • Iván Donado Arce Orthopedic traumatologist. Specialist in Training, Specialization Program in Reconstructive Hip Surgery and Hip and Knee Joint Replacement, Universidad Militar Nueva Granada. Orthopedics and Traumatology Service, Hospital Militar Central, Bogotá, Colombia.
  • Pedro Faria Orthopedic traumatologist. Specialist in Training, Specialization Program in Reconstructive Hip Surgery and Hip and Knee Joint Replacement, Universidad Militar Nueva Granada. Orthopedics and Traumatology Service, Hospital Militar Central, Bogotá, Colombia.

Keywords:

Arthroplasty, acetabulum injuries, transplantation, homologous, infection

Abstract

Acetabular fractures are complex injuries, usually associated with high energy trauma, that almost always have a poor outcome despite any selected treatment. We present a case report of a young patient who had an acetabular fracture as a result of severe multiple trauma caused by the explosion of a grenade. After the completion of the open fixation of the acetabulum, the patient presented post-traumatic osteoarthritis, surgically managed with a hip arthroplasty. The lack of adequate bone quality in the acetabulum, make it necessary to perform a neo-acetabulum along the initial arthroplasty surgery, by placing bone allograft in the true acetabulum position and having to consider a forecoming revision surgery. The patient had a hidden infection. A step by step with several surgery times was necessary, with placement of antibiotic spacers, removal of osteosynthesis material, placement of allografts in the acetabulum and raised the possibility of a subsequent final review after being sure that the infection was already controlled. We restored the true acetabulum and the center of rotation, improving the patient’s posture and gait

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Published

2012-09-01

How to Cite

1.
Suescún Moreno JP, Arbeláez Arbeláez W, Sierra J, Donado Arce I, Faria P. Revision of infected hip arthroplasty in a patient with a history of acetabular fracture: Case report. Rev. Colomb. Ortop. Traumatol. [Internet]. 2012 Sep. 1 [cited 2026 Mar. 16];26(3):193-9. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/645

Issue

Vol. 26 No. 3 (2012)

Section

Case report

License

Copyright (c) 2025 Sociedad Colombiana de Cirugía Ortopédica y Traumatología.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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