Candidal periprosthetic joint infection after primary total knee arthroplasty combined with ipsilateral intertrochanteric fracture: A case report

Figure 1 Anteroposterior and lateral radiographs after primary total knee arthroplasty. The surgery was performed 20 mo prior to current presentation.

Figure 2 Radiograph of the patient’s left knee after prosthesis removal and insertion of an antibiotic (vancomycin) impregnated cement spacer.

Figure 3 Cheesy like necrotic tissue was observed on the surface of the spacer which had an unpleasant odor during the second debridement procedure.

Figure 4 Radiograph of the patient’s left knee after the second debridement.

Figure 5 Radiograph of the left intertrochanteric fracture (31A2. 2) after the second debridement.

Figure 6 Ipsilateral intertrochanteric fracture fixed by proximal femoral nail anterotation.

Figure 7 Knee arthrodesis with autograft using a double-plate fixation.

Figure 8 Radiography at the two-year follow-up.