CASE STUDY A 76-year-old man sought consultation for a painful revision left hip arthroplasty, limb length discrepancy, and difficulty with ambulation. He had undergone a hip arthrodesis in his mid-40s to address the disabling posttraumatic arthritis that developed after a…
CASE STUDY A 75-year-old woman presented with a loose cemented stem ( Fig. 65.1 , A ). Evaluation of the radiographs showed that despite appropriate overall bone quality, osteolysis had compromised the bone stock down to the isthmus. Confronted with…
Chapter Preview Chapter Synopsis This chapter reviews the indications and techniques for successful implantation of an extensively porous-coated stem for management of the femoral component in revision hip arthroplasty. Important Points Preoperative templating, including on lateral radiographs, is used to…
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CASE STUDY A 63-year old male patient presented with chief complaints of persistent thigh pain and restriction of function at 1 year following primary total hip arthroplasty (THA) performed for degenerative hip arthritis. A proximally porous coated tapered wedge stem…
CASE STUDIES Case 1 A 63-year-old man underwent primary total hip arthroplasty (THA) of the right hip for degenerative arthritis with a proximal, porous-coated, tapered-wedge stem. The patient complained of significant pain and progressive restriction of function at the 1-year…
CASE STUDIES Case 1: Cemented Femoral Revision A 92-year-old woman underwent revision total hip arthroplasty for femoral loosening. Reconstruction used a porous-coated femoral component. Seven years later, she presented with increased thigh pain. Radiographs showed catastrophic failure (fracture) of her…
Options for Acetabular Revision Derek R. Jenkins, MD Rafael J. Sierra, MD David G. Lewallen, MD CASE STUDY In 2000, a 72-year-old woman, who had a right, porous-coated anatomic prosthesis placed in 1986, presented to our institution with a limp and complaints about…
CASE STUDY An 80-year-old man presented with a failed acetabular component 29 years after the index total hip arthroplasty (THA). The patient was found to be free of infection. Radiographs identified a well-fixed, uncemented stem and a combined segmental and…
CASE STUDY A 39-year-old West African man underwent his first total hip arthroplasty 13 years before presentation. His hospitalization was complicated by prolonged postoperative drainage and persistent pain. He presented for treatment with an 8-year history of hip pain with…