Work

A Revision of an Infected Total Hip Arthroplasty leading to Oxalate Nephropathy: A Case Report

Year: 2025

Type: article

Abstract: Introduction: Although one of the most successful orthopedic procedures, total hip arthroplasty (THA) conveys a not negligible risk for complications. Case Report: A 72-year-old patient after a THA received an operative revision 2 times due to persistent hematoma and early periprothetic infection. Post-operative renal failure requiring hemodialysis has been caused by a histologically confirmed oxalate nephropathy (ON). Post-operative antibiotic treatment altering the gut microbiome has been assumed as the most likely cause of ON. It is the first presented case of ON as a post-operative complication after a hip arthroplasty revising operation. Conclusion: Acute post-operative renal injury conveys significant danger for the patients. An interdisciplinary approach is needed as many cases require complex diagnostic and therapeutical procedures offered by experts on the field.

Source: Journal of Orthopaedic Case Reports

DOI: 10.13107/jocr.2025.v15.i04.5456

Authors: Dimitrios Mouselimis, Fedai Özcan, Thorsten Wiech, Christian Lüring

Institutions: Witten/Herdecke University, Klinikum Dortmund, University Medical Center Hamburg-Eppendorf

Language: English

Topic: Orthopedic Infections and Treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $250