First experience with a thermal-sprayed silver oxide-containing hydroxyapatite coating implant in two-stage total hip arthroplasty for the treatment of septic arthritis with hip osteoarthritis: A case report

•Septic arthritis of the hip joint is relatively uncommon in adults.•Ag-HA implants have not been used in two-stage total hip arthroplasty.•Ag-HA implants may be used in two-staged total hip arthroplasty. Septic arthritis of the hip joint in adults is a rare and potentially devasting disease. To the...

Full description

Saved in:
Bibliographic Details
Published in:International journal of surgery case reports 2020-01, Vol.77, p.434-437
Main Authors: Hashimoto, Akira, Sonohata, Motoki, Kitajima, Masaru, Kawano, Shunsuke, Eto, Shuichi, Mawatari, Masaaki
Format: Article
Language:English
Subjects:
Case Report
Septic arthritis of the hip
Silver
Total hip arthroplasty
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•Septic arthritis of the hip joint is relatively uncommon in adults.•Ag-HA implants have not been used in two-stage total hip arthroplasty.•Ag-HA implants may be used in two-staged total hip arthroplasty. Septic arthritis of the hip joint in adults is a rare and potentially devasting disease. To the best of our knowledge, there have been no reports of two-stage total hip arthroplasty (THA) for the treatment of septic arthritis of the hip joint with a cementless hip implant that has antibacterial properties. We present a case of two-stage THA with a thermal-sprayed silver oxide-containing hydroxyapatite coating (Ag-HA) implant to treat septic arthritis of the hip joint with hip osteoarthritis in an 80-year-old woman. There was no complication or recurrence at 28 months follow-up after 2nd-stage operation. Ag-HA implants were found to have antibacterial activity within the subcutaneous tissues and bone, osteoconductive properties, and no adverse reactions in vivo. Moreover, no adverse events due to silver were reported in a clinical or radiographic study. To further reduce infection after two-staged THA for septic arthritis of the hip joint, antibacterial implants, such as an Ag-HA implant, may be used.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2020.11.032