Renal failure after placement of an articulating, antibiotic impregnated polymethylmethacrlyate hip spacer Robert P. Runner, MD, Amanda Mener, BS, Thomas.

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Presentation transcript:

Renal failure after placement of an articulating, antibiotic impregnated polymethylmethacrlyate hip spacer Robert P. Runner, MD, Amanda Mener, BS, Thomas L. Bradbury, MD Arthroplasty Today Volume 4, Issue 1, Pages 51-57 (March 2018) DOI: 10.1016/j.artd.2017.02.005 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Initial anteroposterior (AP) radiograph of left hip (a) and lateral radiograph (b) showing no fracture or major bony lesion. Arthroplasty Today 2018 4, 51-57DOI: (10.1016/j.artd.2017.02.005) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Axial computed tomography imaging without contrast of the left hip showing a moderate effusion indicated by arrows. Soft tissue window (a-c) and bone window (d and e) are shown. Arthroplasty Today 2018 4, 51-57DOI: (10.1016/j.artd.2017.02.005) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Axial (a), sagittal (b and c), and coronal (d and e) T2-weighted MRI of the pelvis showing bilateral hip effusions and edema and avascular necrosis of the femoral heads. Arthroplasty Today 2018 4, 51-57DOI: (10.1016/j.artd.2017.02.005) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Serum white blood cell count from initial admission with septic arthritis through hospital discharge. Arthroplasty Today 2018 4, 51-57DOI: (10.1016/j.artd.2017.02.005) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Blood urea nitrogen levels (a), creatinine (b), and estimated glomerular filtration rate (c) from admission through discharge and follow-up. Superimposed blood urea nitrogen, creatinine, and estimated glomerular filtration rate is shown during the same period (d). Arthroplasty Today 2018 4, 51-57DOI: (10.1016/j.artd.2017.02.005) Copyright © 2017 The Authors Terms and Conditions

Figure 6 Anteroposterior pelvis radiograph (a) and cross-table lateral radiograph of left hip (b) after antibiotic spacer. Arthroplasty Today 2018 4, 51-57DOI: (10.1016/j.artd.2017.02.005) Copyright © 2017 The Authors Terms and Conditions

Figure 7 The most recent anteroposterior pelvis radiograph showing appropriate right total hip arthroplasty and left cement spacer (a) and cross table lateral radiograph of left hip (b). Arthroplasty Today 2018 4, 51-57DOI: (10.1016/j.artd.2017.02.005) Copyright © 2017 The Authors Terms and Conditions