94% of researchers rate our articles as excellent or good
Learn more about the work of our research integrity team to safeguard the quality of each article we publish.
Find out more
CASE REPORT article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1534279
Rheumatoid Arthritis Patient with Hip Joint Infection and Acetabular Protrusion undergoing Total Hip Arthroplasty: A Case Study and Literature Review
Provisionally accepted- 1 Jinyun People’s Hospital, lishui, China
- 2 No. 903 Hospital of PLA Joint Logistic Support Force, hangzhou, China
- 3 First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China
The chronic autoimmune disease rheumatoid arthritis (RA) affects primarily the synovial joints, leading to hip joint deformity and dysfunction manifestations such as acetabular protrusion and joint infection. We present the case of a female patient RA complicated by severe hip arthritis and acetabular protrusion syndrome. The disease progressed rapidly with elevated preoperative inflammatory markers, initially overlooking hip joint infection. The patient underwent total hip arthroplasty, and intraoperative synovial fluid bacterial culture revealed Gram-negative rod bacteria. Aggressive postoperative anti-infective therapy effectively controlled the infection. Therefore, early diagnosis and treatment of infections are particularly important.
Keywords: Not applicable Not applicable Rheumatoid arthritis, Hip arthritis, acetabular protrusion syndrome, Total hip arthroplasty, Hip joint infection, Anti-infective therapy
Received: 25 Nov 2024; Accepted: 28 Feb 2025.
Copyright: © 2025 Wang, Weijie, Zhou, Zhang, Chu, Fan and Lu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Weitao Chu, Jinyun People’s Hospital, lishui, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.