[Aspergillar prosthetic hip infection with false aneurysm of the common femoral artery and cup migration into the pelvis].

Rev Chir Orthop Reparatrice Appar Mot

Service de Chirurgie Orthopédique, Pavillon T, Hôpital Edouard-Herriot, 5 place d'Arsonval, 69437 Lyon Cedex 03.

Published: October 2006

AI Article Synopsis

  • A case of Aspergillus fumigatus infection was identified in a patient with a loosened total hip prosthesis that had migrated into the pelvis, causing a false aneurysm of the femoral artery.
  • A vascular team was needed prior to the orthopedic surgery to address the vascular issues due to the cup's migration.
  • The case emphasizes the need for thorough preoperative assessments for cup migration and discusses the challenges in treating Aspergillus fumigatus infections.

Article Abstract

We report a case of Aspergillus fumigatus infection of a total hip arthroplasty. This rare infection was demonstrated at surgical revision of a loosened prosthesis with migration of the cup into the pelvis associated with a false aneurysm of the femoral artery. A vascular time was required before the orthopedic revision. This case illustrates the importance of the preoperative work-up in the event of cup migration. The double approach was required in our patient to control and repair the vascular structures. The difficult treatment of Aspergillus fumigatus is also discussed.

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Source
http://dx.doi.org/10.1016/s0035-1040(06)75920-7DOI Listing

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