CASE STUDIES Case 1 A 79-year-old woman presented after a primary total hip arthroplasty (THA) for a second opinion. During the primary THA, there was a fracture of her acetabulum. During surgery, the anterior and posterior columns were found to…
CASE STUDIES Case 1 A 54-year-old male had a failed attempt of an acetabular reconstruction with a bilobed component ( Fig.55.1 ). He was found to have a large posterior column defect and a pelvic dissociation. A cage reconstruction with…
Chapter Preview Chapter Synopsis This chapter describes the appropriate treatment of cavitary defects. Important Points Cavitary defects are contained defects. The defects may be successfully treated with a hemispherical or elliptical acetabular component and supplemental bone grafting. Clinical/Surgical Pearls Structural…
CASE STUDY Case 1: Extended Trochanteric Osteotomy A 67-year-old woman presented with a 4-month history of right thigh pain with weight bearing 10 years after a right hybrid total hip arthroplasty (THA) (see Fig. 53.1 ). She previously had no…
CASE STUDY A 50-year-old man with no significant medical history underwent primary left total hip arthroplasty (THA) 9 years earlier. He returned to the medical office with a new limp and pain in his left hip that had increased during…
CASE STUDY A 69-year-old woman underwent primary total hip arthroplasty (THA) using a direct anterior approach without apparent complications ( Fig. 51.1 ). She presented to a local emergency department complaining of increased right hip pain and an inability to…
Chapter Preview Chapter Synopsis The direct lateral or transgluteal approach for total hip arthroplasty (THA) is used by clinicians worldwide. Clinical outcomes and potential complications are similar to those for other surgical approaches to the hip joint. Important Points Primary…
CASE STUDY A 42-year-old man presented with bilateral hip pain 1 year after undergoing staged, bilateral total hip arthroplasties (THAs). The patient had his right hip replaced first, with good early results, followed 6 weeks later by a left THA.…
CASE STUDY An 81-year-old woman presented with pain in the right hip and thigh that was associated with progressive difficulty in ambulating and putting weight on the right leg. She had undergone a hybrid total hip arthroplasty (THA) approximately 13…
Chapter Preview Chapter Synopsis In this chapter, we review the indications and techniques for successful removal of the femoral components in revision total hip arthroplasty. Important Points Before femoral extraction, a full workup is performed to assess component loosening. Cortical…