Journal Logo

Institutional members access full text with Ovid®

Enteroarticular Fistula Following Antibiotic Spacer Placement for a Periprosthetic Joint Infection in a Patient with Chronic Pelvic Discontinuity

A Case Report

Dardas, Agnes Z., MD, MSc1; Bindon, Joshua M., BS1; Klyde, Daniel, BSE1; Gittings, Daniel J., MD1; Sheth, Neil P., MD1

doi: 10.2106/JBJS.CC.18.00169
Case Reports

Case: A 50-year-old man with a history of chronic refractory periprosthetic joint infection following total hip arthroplasty, which had been treated with multiple antibiotic spacers, developed an enteroarticular fistula. He was able to avoid hip disarticulation after undergoing a laparoscopic colectomy with a diverting colostomy and a functional hip resection arthroplasty. At the 1-year follow-up, he was walking independently with crutches and had minimal pain.

Conclusion: An enteroarticular fistula following total hip arthroplasty is a rare and serious complication. To our knowledge, this is the first reported case that occurred in the setting of an antibiotic spacer. A multidisciplinary team approach is essential for achieving clinical success.

1Department of Orthopaedic Surgery (A.Z.D., D.J.G., and N.P.S.), Perelman School of Medicine (J.M.B.), University of Pennsylvania (D.K.), Philadelphia, Pennsylvania

E-mail address for N.P. Sheth:

Investigation performed at the University of Pennsylvania, Philadelphia, Pennsylvania

Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
You currently do not have access to this article

To access this article: