Diagnosis
Deep periprosthetic infection of the left hip joint. Bilateral hip replacement. Chronic osteomyelitis with a drained sinus. Exacerbation of chronic osteomyelitis of the left femur, fistula form. Hypertonic disease.
Patient:
Male, 63 years old, Kazakhstan
Physician:
Professor Carsten Perka, Head of the Center for Musculoskeletal Surgery at Charité University Hospital
Patient's complaints:
Pain and soft tissue swelling in the region of the left hip joint, an infected wound with purulent-haemorrhagic discharge, and impaired weight-bearing function of the left lower limb. The patient has an elevated body temperature of 37.9 degrees Celsius. Three months ago, the patient underwent a total hip replacement on the left hip. One month later, increasing pain developed and a fistula with purulent discharge formed. Surgical treatment is recommended.
Response from Professor Carsten Perka, orthopaedic surgeon:
We would be happy to assist the patient. First and foremost, the total hip replacement must be removed if the situation is even remotely similar to what you describe.
Given the diagnosis of a deep infection of the left hip joint, two operations are required.
The first operation involves removing the prosthesis, performing radical debridement and administering antibiotic therapy. The patient would need to stay in the clinic as an inpatient for approximately seven days.
The second operation involves re-implanting the prosthesis and administering a further six weeks of antibiotic therapy. The patient would need to stay in the clinic as an inpatient for approximately seven days.
The estimated cost of the treatment: €56,000.