Megaprosthesis of the Hip
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…
Exposure for Revision Total Hip Arthroplasty
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…
Landmarks to Determine the Anatomic Hip Center of Rotation
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…
Cemented Femoral Revision in Total Hip Arthroplasty
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…
Direct Anterior Approach to Revision Total Hip Arthroplasty
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…
Surgical Techniques: Extensively Porous-Coated, Cylindrical Stems
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…
Acetabular Reconstruction With a Jumbo Socket
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…
Evaluation of the Failed Total Hip Arthroplasty: History and Physical Examination
CASE STUDY A 45-year-old man presented with bilateral hip pain (greater on the right side than the left) that had been worsening over the past 5 years. The pain was…
Management of Protrusio Defects
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….
Management of Segmental and Column Defects
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…
