ArticleJournal of orthopaedic case reports2026
Acute Prosthetic Joint Infection of Revision Total Hip Arthroplasty Managed with Debridement, Antibiotics, Implant Retention, and Flap Coverage: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Introduction: Infection following a primary total hip arthroplasty (THA) is a devastating complication. An infected revision THA carries even more significant consequences. This case report describes the successful management of an infected revision THA using debridement, antibiotics, implant retention (DAIR), and a musculocutaneous anterolateral thigh flap coverage in a resource-constrained setting. Case Report: A 37-year-old male patient with hepatitis C presented with a sinus tract at the surgical site following implant removal for an infected THA. He underwent a two-stage revision, utilizing a constrained acetabular cup, due to a lack of identifiable abductor mass observed intraoperatively. Postoperatively, the surgical site dehisced with purulent discharge with exposure of the greater trochanter and trunnion. In consultation with a plastic surgeon, DAIR with musculocutaneous anterolateral thigh flap coverage was done. At 12-month follow-up, the flap remained healthy and well settled, without evidence of infection. Conclusion: This case highlights the potential of DAIR with flap coverage as a valuable option for managing infected revision THA, particularly in resource-limited settings, considering the associated complications, morbidity, and cost of further revisions.
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