Two stage revision limb salvage procedure for a malignant bone tumour following periprosthetic infection: A case report and review of literature

Abstract

Limb salvage surgery with endoprosthetic reconstruction is the standard of care in the management of extremity sarcomas of bone and soft tissues. Furthermore, adding neoadjuvant chemotherapy to the treatment protocol has increased the rates of limb salvage surgeries. Periprosthetic infection is an undesirable complication of the surgery the management of which is very challenging. Patients with Periprosthetic Joint Infection are treated in stages, firstly the prosthesis is removed with thorough debridement with or without placement of spacer followed by antibiotic treatment and later reimplantation of new prosthesis. Two stage procedure has been shown to have better results compared to single stage treatment of periprosthetic infection. Here we describe the case report of a patient who had osteochondroma of the right proximal tibia, treated with proximal tibial resection and custom mega prosthesis reconstruction and he had periprosthetic infection which treated in two stages and a review of literature of the treatment of periprosthetic joint infection.