A 73-year-old man was admitted to our hospital for treatment of an infected left total hip arthroplasty (THA). The initial arthroplasty was performed 5 years earlier for osteoarthritis, and his course had been uncomplicated until he developed progressive left groin and thigh pain of several months’ duration. Laboratory tests and aspirate culture confirmed infection. Radiographs showed well-fixed components and no hardware complications or osteolysis ( Fig. 63.1 ).
The patient was taken for irrigation and débridement with explantation of all left THA components through an extended trochanteric osteotomy ( Fig. 63.2 ). After the procedure, the patient improved clinically with regard to pain at rest, but he had significant immobility due to the hip resection. After ruling out an ongoing infection by standard intraoperative assessments, reimplantation was performed using an extensively porous-coated, cylindrical stem.