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Author Notes:
Corresponding author. 59 Executive Park South, Atlanta, GA 30329, USA. Tel.: +1 404 778 1567.59 Executive Park South Atlanta GA 30329 USA: rrunner@emory.edu
One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to the supplemental files.
Subjects:
Keywords:
- Acute renal failure
- Antibiotic impregnated cement
- Antibiotic spacer
- Hemodialysis
- Septic arthritis
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 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.
Copyright information:
© 2017 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons.
This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).
