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

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. P...

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Bibliographic Details
Main Authors: Dimitrios Mouselimis, Fedai Özcan, Thorsten Wiech, Christian Lüring
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-04-01
Series:Journal of Orthopaedic Case Reports
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Online Access:https://jocr.co.in/wp/2025/04/01/a-revision-of-an-infected-total-hip-arthroplasty-leading-to-oxalate-nephropathy-a-case-report/
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Summary: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.
ISSN:2250-0685
2321-3817