Local infection, prosthesis seems to be OK

Problem: there are signs of local infection (redness, tenderness, granulation), but the prosthesis still seems of the right size and is functioning properly. In most cases of local infection there is also edema and granulation

tissue formation, present. However, if these latter phenomena are not occurring, treatment with broad-spectrum antibiotics with or without corticosteroids can be adequate to control this infection. An example of an infection can be seen in the top figure, with the result of antibiotic treatment after 2 weeks in the lower figure. However it is of utmost importance to verify that the prosthesis really is of the right size/length, since undue pressure of the prosthesis on the mucosa of the party wall will further increase the infectious edema. Upsizing of the prosthesis is then required.