2025, Vol. 7, Issue 2, Part E
Two-stage revision of a difficult-to-treat Staphylococcus haemolyticus hip joint Infection with temporary handmade cement spacer and stable Intramedullary fixation while using a Mega prothesis: A case report
Author(s): Nico Hargens and Sebastian Meller
Abstract: Background: Management of extensive bone loss in the proximal or distal femur represents a significant challenge in the context of periprosthetic joint infections (PJI). Both one-stage and two-stage revision strategies have been described in the literature.
Case presentation: In this study, we report our experience with the two-stage approach for the treatment of PJI in the setting of substantial bone loss. Our patient, who presented with radiologically confirmed extensive bone loss of the proximal femur, underwent a two-stage exchange arthroplasty with reconstruction using a megaprosthesis. The diagnosis of PJI was confirmed by positive microbiological cultures.
Management and Outcome: Two-stage-exchange arthroplasty resulting in reconstruction using a megaprothesis. At six-month follow-up, there was no clinical, radiological, or laboratory evidence of persistent infection.
Conclusion: In conclusion, the two-stage revision procedure appears to be an effective treatment option for complex periprosthetic infections, particularly in cases involving Staphylococcus haemolyticus.
DOI: 10.22271/27078345.2025.v7.i2e.304Pages: 296-301 | Views: 151 | Downloads: 55Download Full Article: Click Here
How to cite this article:
Nico Hargens, Sebastian Meller.
Two-stage revision of a difficult-to-treat Staphylococcus haemolyticus hip joint Infection with temporary handmade cement spacer and stable Intramedullary fixation while using a Mega prothesis: A case report. Int J Case Rep Orthop 2025;7(2):296-301. DOI:
10.22271/27078345.2025.v7.i2e.304
