PMC5836394_01
Dry sinus tract of a chronic periprosthetic left hip infection that began 20 years ago. Tract has been dry for the last 12 years.
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THAs, the patient reports developing a draining sinus tract of his left thigh (Figure 1) and bilateral periprosthetic infections which were not confirmed with aspiration.
Plain radiograph of pelvis in a patient with history of bilateral periprosthetic infections 9 years following bilateral total hip arthroplasties. X-ray demonstrates good fixation of implant without loosening, some eccentric wear on the right polyethylene liner, no periosteal reaction. There is bilateral Brooker III/IV heterotopic ossification.
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In 2004, the patient was first seen in clinic and reported doing well with no hip pain but had some decreased hip range of motion and noted to have Brooker III/IV heterotopic ossification around both hips on X-ray (Figure 2).
Plain radiograph of pelvis in a patient with history of bilateral periprosthetic infections 20 years following bilateral total hip arthroplasties. X-ray demonstrates good fixation of implant without loosening, some eccentric wear on the right polyethylene liner, no periosteal reaction. There is bilateral Brooker III/IV heterotopic ossification.
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There was continued presence of Brooker III/IV heterotopic ossification around both hips without subsidence of his left hip compared to his X-rays in 2014 (Figure 3).