Spinal engagement is common. Why not prosthetic infection in patients with Brucellosis? To my knowledge surgeons do not take into consideration this specific infection.
I never met Brucellosis as a cause of septic loosening of THR. Osteoarticular involvement of the axial skeleton is the most presentation of Brucella infection. The most commonly affected joints in our material are sacroiliacal joint and second is knee.
Thank you, Dr Malyk. This was my idea. When diagnosed in time to have the opportunity to save the prosthesis by adequate antibiotics.
Infection by Brucella in THR & TKR been report ed but it is rare. Only 18 case of such reported in English Literature
published in Am J of Ortho Auhors Carothers, Megin C Nicholusand Thopson
Thank you, Dr. Amalie for your answer. Could the prosthesis be ssved when an adequate antibiotics is started in time ? This is the question ?
That is impossible to say. i practically get pessimistic in those cases. I had to remove those aseptic loosening implant and converted them to Girdlestone procedure for making the patient mobile though with an Aid and some degree of limpdue to leg shortening but most are happy as the Patient asked for a positive answer of cure ,contrary to others , I supported my decision for Girdlestone
I agree with you to some extent. When adequate antibiotics are used there is a better chance to cure the site. In these cases one or two staged re-replacement may work.
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