Summary
The authors report a rare case of an 75-year-old female patient who had had a Mueller cemented total hip arthroplasty for osteoarthritis. Eight years after implantation of the THA the patient developed a hematogenous TB arthritis in the already implanted hip. During the revision operation the infected hip was found to communicate with the ipsilateral psoas muscle sheath through a fistula which was induced by one of the screws used for stabilization of the socket. The evacuation of the abscess from the psoas sheath and the affected hip joint in combination with anti-TB medication was followed by an uneventful course, up to 48 months postoperatively.
With this report the authors wish to draw the attention of physicians on such a rare complication and its sequellae.