Right Magnum Mallory THR 2008 Excellent outcome Blood ions - PowerPoint PPT Presentation

 Right Magnum Mallory THR 2008  Excellent outcome  Blood ions 3.1/1.3  Multiply operated back and left hip.

 Hand infection 2016 (8 years postop)  Acute bursa infection with MRSA  Initial bursa cultures +, joint cultures -  I&D hip (11/2016) elsewhere and Abx Failed with + joint MRSA cultures  Partial exchange revision elsewhere (1/2017), IV daptomycin, chronic doxycycline  Worsening pain,  Large MRI collection  Aspiration –  WBC/ESR/CRP normal

 Is it still infected?  Is further testing indicated?  What is the plan?

 No further testing  Full 2 stage exchange with custom triflange acetabulum  Abx: Tobramicin spacer and beads, at least 6weeks IA vanco plus oral rifampin. After revision 6 months oral Abx