Hip Pelvis.  2019 Mar;31(1):57-62. 10.5371/hp.2019.31.1.57.

Three Concurrent Periprosthetic Joint Infections: A Case Report and Literature Review

  • 1Department of Orthopaedic Surgery, Boston Medical Center, Boston, MA, USA. Eric.Smith@BMC.org
  • 2Department of Orthopaedic Surgery, Tufts Medical Center, Boston, MA, USA.


Periprosthetic joint infections are a major cause of morbidity and mortality following total joint arthroplasty. Two-stage arthroplasty, with the use of an antibiotic cement spacer, is an effective means of managing periperiprosthetic joint infections. There is a lack of data relating to the management, prognosis, and clinical outcomes associated with multiple peri-prosthetic joint infections. Here, we present a case report of a patient successfully treated for three synchronic peri-prosthetic joint infections of both knees and a single hip.


Knee replacement arthroplasty; Hip replacement arthroplasty; Periprosthetic joint infection; Two-stage arthroplasty; Concurrent periprosthetic joint infection

MeSH Terms

Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee


  • Fig. 1 (A) Anteroposterior (AP) and lateral views of right total knee arthroplasty at initial presentation. (B) AP and lateral views of the left total knee arthroplasty at onset of symptoms. (C) AP view of the right total hip arthroplasty at the onset of symptoms.

  • Fig. 2 Anteroposterior (AP) radiograph of the bilateral knee and AP radiograph of the right hip after component explanation with antibiotic cement spacer placement.

  • Fig. 3 One-year post-operative radiographs. (A) Anteroposterior (AP) view of bilateral revision total knee arthroplasty. (B) Lateral view of left revision total knee arthroplasty. (C) Lateral view of right revision total knee arthroplasty. (D) AP views of the right hip and right femur revealing complete revision right total hip arthroplasty stem.

Cited by  1 articles

Current and Future Burden of Periprosthetic Joint Infection from National Claim Database
Hong Seok Kim, Jung Wee Park, Sun-Young Moon, Young-Kyun Lee, Yong-Chan Ha, Kyung-Hoi Koo
J Korean Med Sci. 2020;35(49):e410.    doi: 10.3346/jkms.2020.35.e410.


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