PMC6746149_01
(a) AP and (b) lateral radiographs of the right elbow obtained upon the initial presentation to our clinic.
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fig1
Nine months after the ligament reconstruction procedure, the patient presented to our orthopaedic department with severe right elbow pain and instability (Figure 1).
(a) AP and (b) lateral radiographs of the right elbow following a long-stemmed cemented Coonrad-Morrey TEA.
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fig2
The patient proceeded with a long-stemmed cemented Coonrad-Morrey TEA (Figure 2).
Gram stain of Candida parapsilosis at 1000x magnification.
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Intraoperative cultures grew Candida parapsilosis, and she was subsequently placed on chronic fluconazole (Figure 3).
(a) AP and (b) lateral radiographs obtained following resection arthroplasty with placement of an amphotericin, vancomycin, and tobramycin-impregnated cement spacer.
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fig4
The implant was replaced with an amphotericin, vancomycin, and tobramycin-impregnated cement spacer (Figures 4 and 5).
Intraoperative photograph of the implanted amphotericin, vancomycin, and tobramycin-impregnated cement spacer.
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fig5
The implant was replaced with an amphotericin, vancomycin, and tobramycin-impregnated cement spacer (Figures 4 and 5).