# Persistent Pain and Purulent Discharge: A Case of Infected Bipolar Hemiarthroplasty

**Authors:** Kevin Kawde, Gajanan Pisulkar, Ankur Salwan, Adarsh Jayasoorya, Vivek H Jadawala, Aditya Chirayath

PMC · DOI: 10.7759/cureus.56375 · Cureus · 2024-03-18

## TL;DR

A 65-year-old man with a hip infection after a bipolar hemiarthroplasty was successfully treated with surgery and recovery.

## Contribution

This case highlights the management of infected bipolar hemiarthroplasty through surgical intervention and multidisciplinary care.

## Key findings

- Persistent pain and purulent discharge indicated a prosthetic joint infection.
- Surgical intervention led to symptom resolution and recovery.
- Multidisciplinary care is crucial for managing infected joint arthroplasty.

## Abstract

Prosthetic joint infection (PJI) remains a significant complication following joint arthroplasty, necessitating prompt recognition and intervention to optimize patient outcomes. This case report describes a 65-year-old male who presented with persistent pain, swelling, and purulent discharge from the right hip, three years post-bipolar hemiarthroplasty following a road traffic accident. Clinical examination revealed signs suggestive of PJI, prompting surgical intervention with total hip arthroplasty. Postoperatively, the patient experienced resolution of symptoms and satisfactory recovery. This case underscores the challenges associated with infected joint arthroplasty and highlights the importance of a multidisciplinary approach for effective management. Early diagnosis, appropriate surgical intervention, and comprehensive postoperative care are essential for minimizing morbidity associated with PJIs and optimizing patient outcomes.

## Full-text entities

- **Diseases:** Pain (MESH:D010146), swelling (MESH:D004487), PJI (MESH:D007239), road traffic accident (MESH:D000081084), hip arthroplasty (MESH:D025981)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC11022917/full.md

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Source: https://tomesphere.com/paper/PMC11022917