case_images: PMC11723725_01
case_images: Pre-operative anteroposterior plain radiograph of the pelvis. The image shows left hip osteoarthritis. Note joint space narrowing and articular surface sclerosis.
case_images: JOCR-15-51-g001.jpg
case_images: PMC11723725_01_JOCR-15-51-g001.jpg
case_images: F1
case_images: A 62-year-old male patient underwent a primary uncemented THA by direct anterior approach in June of 2020 due to the left hip end-stage osteoarthritis (Fig. 1).
case_images: Post-operative anteroposterior plain radiograph of the pelvis. The image shows an uncemented left total hip arthroplasty.
case_images: JOCR-15-51-g002.jpg
case_images: PMC11723725_01_JOCR-15-51-g002.jpg
case_images: F2
case_images: After 4 days, the patient was discharged home without complications (Fig. 2).
case_images: T1-weighted magnetic resonance imaging coronal plane of the pelvis. The image shows a pathologically voluminous three-lobed formation with liquid content located in the left hip joint.
case_images: JOCR-15-51-g003.jpg
case_images: PMC11723725_01_JOCR-15-51-g003.jpg
case_images: F3
case_images: MRI examination showed the presence of a voluminous three-lobed fluid-filled cyst around the implant (Fig. 3).
case_images: T1-weighted magnetic resonance imaging coronal plane of the pelvis. The image shows a pathologically voluminous three-lobed formation with liquid content in the left hip joint.
case_images: JOCR-15-51-g004.jpg
case_images: PMC11723725_01_JOCR-15-51-g004.jpg
case_images: F4
case_images: Inflammatory markers were elevated (CRP 47.30 mg/dL), and a pelvis MRI showed a fluid containing formation with the same characteristics as the previous MRI (Fig. 4).
case_images: Post-operative anteroposterior plain radiograph of the pelvis. The image shows a temporary antibiotic-loaded cement spacer.
case_images: JOCR-15-51-g005.jpg
case_images: PMC11723725_01_JOCR-15-51-g005.jpg
case_images: F5
case_images: Vancomycin-Gentamicin loaded bone cement was used, and a new intraoperatively molded articulating hip spacer (Spaceflex hip, G21, San Possidonio, Mo, Italy) was placed (Fig. 5).
case_images: Post-operative anteroposterior plain radiograph of the pelvis. The image shows an uncemented left revision total hip arthroplasty.
case_images: JOCR-15-51-g006.jpg
case_images: PMC11723725_01_JOCR-15-51-g006.jpg
case_images: F6
case_images: A spacer removal and a revision hip arthroplasty was performed using an uncemented multiholes titanium cup (Trident II Tritanium, Stryker Orthopedics, Mahwah, NJ, United States) and a modular tapered titanium revision stem (Restoration Modular Stem, Stryker Orthopaedics, Mahwah, NJ, United States) (Fig. 6).