Bleeding and thrombosis: hemostasis imbalance as a predictor of the development infectious complications after prosthetics of large joints

Purpose of study is to analyze the case of an infectious complication after hip arthroplasty, to identify the causes of its occurrence.Materials and methods: Clinical observation of a case of treatment of idiopathic coxarthrosis in a 62-year-old patient with the development of infectious complication after arthroplasty.Results: The cause of the development of periprosthetic infection was the infection of hematoma formed in the treatment of venous thrombosis and arterial bleeding. The choice of surgical tactics produced in favor of a two-stage revision. The reason for the failure of the first installation of the spacer was a combination of infection of hematoma on the background of long-term anticoagulant therapy, difficulties in selecting adequate antibiotic therapy, the presence of mixed flora (including difficult to treat - DTT), errors in conducting surgical debridement of the joint at the 1st stage of the audit and possible low compliance by the patient.Conclusions: A set of measures to achieve a balance between medicin prevention of thrombosis and prevention of hematoma formation in the surgical area contributes to reducing the risk of developing a periprosthetic infection in the early postoperative period.