Pus-Like Synovial Fluid in Native Hips with Avascular Necrosis During Total Hip Arthroplasty

JBJS Case Connector 2026

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Authors: Marcos Raúl Latorre, Facundo Delgado, Pablo A. Slullitel, Fernando Martin Comba, Martin Alejandro Buttaro
DOI: 10.2106/jbjs.cc.25.00375
Cited by: 0
References: 15

Abstract

CASE: We report the cases of 2 male patients (aged 66 and 48) with hip avascular necrosis (AVN) and no history of hip infection, who presented pus-like synovial fluid during primary total hip arthroplasty (THA). Intraoperative C-reactive protein was normal, and cultures remained negative. Both underwent uncomplicated THA with favorable outcomes at 1-year follow-up. CONCLUSION: Pus-like joint fluid can occur in AVN without infection. Negative cultures in both cases suggest this finding is related to AVN pathology rather than septic arthritis.

Fields of Study & Subjects

Orthopaedic implants and arthroplasty Orthopedic Infections and Treatments Bone and Joint Diseases

Publication details

Journal / source
JBJS Case Connector
Volume
16
Issue
1
Publication date
1 January 2026
Language
EN