Right Magnum Mallory THR 2008 Excellent outcome Blood ions - - PowerPoint PPT Presentation

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Jul 06, 2023 439 likes •519 views

Right Magnum Mallory THR 2008 Excellent outcome Blood ions 3.1/1.3 Multiply operated back and left hip. Hand infection 2016 (8 years postop) Acute bursa infection with MRSA Initial bursa cultures +, joint cultures -

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 Right Magnum Mallory

THR 2008

 Excellent outcome  Blood ions 3.1/1.3  Multiply operated back

and left hip.

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 Hand infection 2016

(8 years postop)

 Acute bursa infection with MRSA  Initial bursa cultures +, joint cultures -  I&D hip (11/2016) elsewhere and Abx Failed with + joint

MRSA cultures

 Partial exchange revision elsewhere (1/2017), IV

daptomycin, chronic doxycycline

 Worsening pain,  Large MRI collection  Aspiration –  WBC/ESR/CRP normal

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 Is it still infected?  Is further testing

indicated?

 What is the plan?

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 No further testing  Full 2 stage exchange

with custom triflange acetabulum

 Abx: Tobramicin spacer

and beads, at least 6weeks IA vanco plus

ral rifampin. After

revision 6 months oral Abx

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