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Clinical Orthopaedics and Related Research: July 2001 - Volume 388 - Issue - p 143-146
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Fistula Between a Total Hip Arthroplasty and the Rectum: A Case Report
Bach, Christian Michael MD; Nogler, Michael MD; Wimmer, Cornelius MD; Stoeckel, Bernd MD; Ogon, Michael MDHip
An 81-year-old man was referred to the authors for examination of the gastrointestinal tract. A proctoscopy revealed a draining sinus tract in the terminal rectum. Plain radiographs revealed a failed total hip arthroplasty that had migrated into the pelvis. Hip aspiration revealed an infection with bacteria commonly found in the gastrointestinal tract. A fistulogram confirmed a connection between the rectum and the hip replacement. The development of a fistula between the colon and the hip is extremely uncommon. A fistula between the hip and the rectum is a previously unreported complication of total hip arthroplasty.
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