Ischial Weight-Bearing Brace After the Infection of Megaprosthesis:A Salvage Method for Resection Arthroplasty

Ischial Weight-Bearing Brace After the Infection of Megaprosthesis:A Salvage Method for Resection Arthroplasty
Received 27 February 2004; accepted 17 November 2004
Akira Ogose, MD⁎, Tetsuo Hotta, MD⁎, Hiroyuki Kawashima, MD⁎, Yoichi Kawaji, MD‹, Naoto Endo, MD⁎
The Journal of Arthroplasty
Elsevier Inc.

Abstract
We report a case of successful control of the infection of megaprosthesis in the distal femur. Deep infection occurred 5 years after the resection of the osteosarcoma and reconstruction with cementless megaprosthesis. Multiple debridement and intravenous administration of antibiotics did not eradicate the infection. He developed aortitis syndrome (Takayasu's arteritis) and needed to undergo steroid therapy. Total removal of the prosthesis achieved good control of the infection, and the patient had started prednisolone therapy. The patient can walk alone with an ischial weight-bearing brace. Removal of the endoprosthesis and application of ischial weight-bearing brace may be a possible option for the treatment of infected megaprosthesis.

Key words: bacterial arthritis, megaprosthesis, infection, ischial bearing brace, steroid
⁎ Division of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan

‹ Department of Orthopedic Surgery, Tachikawa General Medical Center Hospital, Nagaoka, Japan

Reprint requests: Akira Ogose, MD, Division of Orthopedic, Surgery, Graduate School of Medical and Dental Sciences, Niigata University Asahimachi 1-751, Niigata 951-8510, Japan.

No benefits or funds were received in support of the study.

© 2005 Elsevier Inc. All rights reserved.