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November 25, 2025Journal of Surgical Case ReportsOpen Access

Salvage re-revision total hip arthroplasty for severe femoral and acetabular bone defect complicated by periprosthetic joint infection and stem loosening: insights from geriatric orthopedics

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Authors

DVDũng Anh VũNVNhat Dinh VuTPTien Thanh Pham

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Overview

Revision total hip arthroplasty improves pain relief and infection control in geriatric patients with bone defects.

Key Points

  • To explore effective strategies for managing severe bone defects and infections in geriatric hip arthroplasty patients.
  • Case study of a 73-year-old woman with severe femoral and acetabular bone loss
  • Staged, soft-tissue-first pathway with debridement and targeted antibiotics
  • Reconstruction using a modular tapered stem and porous cup–cage system
  • Marked pain relief observed after 10 months
  • Patient ambulated with a cane, indicating improved mobility
  • No reinfection, dislocation, or stem subsidence noted on follow-up.

Cite This Study

Vũ et al. (2025) studied this question.

synapsesocial.com/papers/692502ad87af00ed34ac1c7dhttps://doi.org/10.1093/jscr/rjaf932
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