Renal failure after placement of an articulating, antibiotic impregnated polymethylmethacrlyate hip spacer

Abstract A 58-year-old male presented with native joint septic arthritis of the hip and osteomyelitis. After treatment with an articulating antibiotic spacer, he developed acute renal failure requiring dialysis. He continued to have elevated serum tobramycin levels exclusively from the antibiotic sp...

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Bibliographic Details
Published inArthroplasty today Vol. 4; no. 1; pp. 51 - 57
Main Authors Runner, Robert P., MD, Mener, Amanda, BS, Bradbury, Thomas L., MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2018
Elsevier
Subjects
Acute renal failure
Antibiotic impregnated cement
Antibiotic spacer
Case Report
Hemodialysis
Orthopedics
Septic arthritis
Hemodialysis
Antibiotic impregnated cement
Acute renal failure
Septic arthritis
Antibiotic spacer
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Summary:Abstract A 58-year-old male presented with native joint septic arthritis of the hip and osteomyelitis. After treatment with an articulating antibiotic spacer, he developed acute renal failure requiring dialysis. He continued to have elevated serum tobramycin levels exclusively from the antibiotic spacer elution as no intravenous tobramycin was used. Subsequent explantation was required to correct his renal failure. Although renal failure after antibiotic impregnated cement placement is rare, the risk of this potential complication should be considered preoperatively and in the postoperative management of these patients.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2017.02.005