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I had a Birmingham hip replacement done in California approximately 4 yrs. ago. I have had problems with it, but 3 months ago, I developed a severe bone infection in femur just below the implant. The Ortho Surgeon said it will take 3 surgeries to fix this problem. First, he must remove the ball and stem which is causing the infection and replace it with some temporary brace. Then the wound care center must surgically implant a spacer bar and slow release antibiotics for 6 weeks to try to clear the infection in the bone. If that is cleared up, then the Ortho Surgeon must go in a do a regular full hip replacement. It has been a nightmare and there is still more to come it seems.