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,…
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…