PMC3600286_01
In the second operation, we removed the prosthesis, performed the irrigation, and inserted the cemented spacer mixed with the antibiotics for reducing the infection.
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fig1
At 41 days after the initial operation, a second operation was performed using a posterolateral approach (Figure 1).
PMC3600286_02
We tested for an arterial bleed with computed tomography using a contrast medium. Although active bleeding was not observed, a hematoma around the hip joint was visible in this test (white arrows).
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fig2
Active bleeding was not observed; however, a hematoma around the hip joint was visualized by this method (Figure 2).
At postoperative day 27, we punctured the hematoma and 150 grams of uncoagulated bloody liquid was aspirated.
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fig3
Thus, we punctured the hematoma and 150 grams of uncoagulated bloody liquid was aspirated (Figure 3).
A physician at a rehabilitation hospital punctured the hematoma, releasing about 50 mL of uncoagulated bloody liquid. Subsequently bloody liquid continued to flow from the puncture needle hole.
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fig4
Because the bloody liquid continued to flow from the puncture needle hole, she was admitted back to our hospital (Figure 4).
At postoperative day 115, we completely removed the hematoma via approximately a 2 cm surgical skin incision. We removed about 1,000 grams of uncoagulated lightly colored bloody liquid.
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fig5
We removed about 1,000 grams of uncoagulated lightly colored bloody liquid (Figure 5).
At day 3 after complete removal of the hematoma, the hematoma enlarged gradually and the thigh pain returned.
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fig6
Three days later, the hematoma had enlarged gradually and the thigh pain returned (Figure 6).