ANTIBIOTIC-LOADED BONE CEMENT IN HIP REPLACEMENT SURGERY

Nam Sai Gon International General Hospital recently treated a challenging case of postoperative infection following internal fixation. By applying antibiotic-loaded bone cement (spacer), the surgical team successfully controlled the infection, removed necrotic bone tissue, and created favorable conditions for a successful total hip replacement.

Antibiotic-Loaded Bone Cement in Hip Replacement Surgery

Mrs. D.T.S. (70 years old, living near Ho Chi Minh City) had endured a long and difficult treatment journey to undergo her hip replacement. A year earlier, she suffered a right intertrochanteric femoral fracture and underwent internal fixation with plate and screws at a local hospital. Unfortunately, she developed a postoperative infection, a serious complication that led her to seek further care at Nam Sai Gon International General Hospital.

Dr. Huynh Dang Thanh Son, Specialist Level II, the attending physician, shared: “The infection caused complete necrosis of the femoral head. Total hip replacement was essential, but her condition was complicated by several coexisting health issues”.

In August 2023, just before her planned surgery, Mrs. S. was diagnosed with aortic valve stenosis and regurgitation, putting her heart under excessive strain. Cardiovascular treatment took priority, and she underwent valve replacement surgery to restore cardiac function and ensure she could later tolerate major orthopedic surgery.

In May 2024, doctors discovered an abscess at the previous surgical site. Urgent surgery was performed to debride infected bone and clean the affected area. To prevent reinfection and maintain joint space, the team used an antibiotic-loaded cement spacer, which temporarily replaced the joint and helped stabilize the area while treating the infection.

Dr. Huynh Dang Thanh Son, Specialist Level II, Deputy Head of the Orthopedics & Traumatology Department, explained:

“The antibiotic-loaded cement spacer played a vital role in Mrs. S.’s recovery. This technique involves molding bone cement mixed with antibiotics into the shape of the hip joint and implanting it in the infected area. It helps control infection, preserve joint space, reduce pain, and improve mobility — creating optimal conditions for a future hip replacement. This technique is now widely used for treating bone infections following orthopedic surgery”.

Before proceeding with total hip replacement, Mrs. S. was diagnosed with deep vein thrombosis (DVT) in her right leg, requiring three months of anticoagulant therapy. Timely management of DVT was crucial to prevent life-threatening pulmonary embolism caused by dislodged blood clots.

Despite these obstacles — infection, abscess, heart valve disease, DVT, hypertension, heart failure, and asthma — with encouragement from her family and the dedication of the hospital’s team, Mrs. S. remained resilient.

In October 2024, once all comorbidities were stabilized, she underwent total hip replacement surgery, which was completed successfully. The procedure relieved her pain and significantly improved her mobility. She was able to stand up just two days after surgery and walk independently with crutches before being discharged.

“Just two days after surgery, I was able to stand up. I can finally walk again!” – Mrs. D.T.S. shared emotionally.

This successful treatment outcome was made possible by the patient’s determination, the hospital’s multidisciplinary collaboration, a carefully designed treatment plan, and the dedication of the medical staff at Nam Sai Gon International General Hospital.

Postoperative infections are a serious complication and must not be underestimated. To ensure optimal surgical outcomes and minimize risk, patients should seek treatment at reputable medical facilities equipped with advanced technologies and experienced surgeons.

The Orthopedics & Traumatology Department at Nam Sai Gon International GeneralHospital specializes in treating musculoskeletal conditions, including complex post-surgical infections. Its strength lies in a combination of experienced orthopedic surgeons, modern surgical equipment, and a close coordination with cardiology, endocrinology, and other departments to deliver comprehensive and patient-centered care.

Nam Sai Gon International General Hospital accepts both public health insurance and private health insurance.

Nam Sai Gon International General Hospital

No. 88, Street No. 8, Trung Son Residential Area, Binh Hung Commune, Ho Chi Minh City.

Hotline: 18006767

info@nih.com.vn

BRC: No. 0312088602, issued on December 14th, 2012 by the Department of Planning and Investment of Ho Chi Minh City. Medical Examination and Treatment License No. 230/BYT-GPHĐ, issued by the Ministry of Health.