CASE STUDY A 67-year-old man underwent a primary, uncemented, left total hip arthroplasty (THA) 11 years earlier for osteoarthritis ( Fig. 76.1 ). His postoperative course was uneventful, and he was followed by his surgeon on a yearly basis. He…
CASE STUDIES Case 1: Permanent Temporary Spacer A 76-year-old man presented to the emergency room with fever and a 2-week history of worsening left hip pain followed by an acute dislocation. The patient had undergone total hip arthroplasty (THA) 12…
Introduction Since its popularization by Sir John Charnley in 1962 and subsequent globalization, total hip arthroplasty (THA) has become recognized as one of the most successful surgical procedures in all of medicine, providing lasting pain relief and functional restoration. Of…
Revision of Metal-on-Metal Bearing Surfaces in Hip Arthroplasty Skylar Johnson, MD Oladapo M. Babatunde, MD Jonathan Lee, MD William B. Macaulay, MD CASE STUDY A 60-year-old woman, who had left primary metal-on-metal hip resurfacing 3.5 years earlier for severe osteoarthritis, presented with increasing left…
Introduction Periprosthetic femoral fracture complicating hip arthroplasty is relatively common. The reported incidence is just below 1% after primary reconstruction and up to 4.2% after revision surgery. These cases present a challenge to the orthopedic surgeon because the fracture is…
CASE STUDY A 92-year-old woman sustained an injury to her left lower extremity after falling from a standing position. Her surgical history is significant for a left hybrid total hip arthroplasty with a cemented femoral stem that was performed 15…
CASE STUDY A 65-year-old man underwent a left cementless total hip arthroplasty for degenerative osteoarthritis using a large, cylindrical, cobalt–chrome stem. The postoperative course was uneventful, and the patient had a pain-free interval after the procedure. The patient presented 3…
CASE STUDY A 49-year-old man presented with left groin pain that began insidiously and had been getting progressively worse over the past few months. He had previously been pain free. Eleven years earlier, he had primary total hip arthroplasty to…
CASE STUDY A 78-year-old woman underwent right total hip arthroplasty using a posterolateral approach 4 years before she was referred to our center. During that time, she sustained two posterior hip dislocations that were treated successfully by closed reduction. She…
CASE STUDY A 50-year-old male presented with severe right hip pain, Trendelenberg gait, and limb length discrepancy. He had an open reduction with internal fixation for a childhood hip fracture. Radiographic evaluation demonstrated severe arthritic changes with proximal femoral deformity,…