Complex hip revision in a patient with massive massive loss bone stock - Cloned

Hip
ACL
Complex hip revision in a patient with massive massive loss bone stock - Cloned

The goals of this clinical case are to discuss the different hypothesis and therapeutic options in case of a massive massive loss of bone stock around total hip arthroplasty.

Pierre Laboudie
Bordeaux, FRANCE
Clinique du sport
Part one
Clinical presentation
  • 57 years old gentleman
  • Medical history: high blood pressure, right THR post-traumatic in 1993
  • Right hip pain increasing for more than 10 years but patient was scared to see a specialist.
  • Walk with 1 cane
  • Lower Limb Discrepancy of 3cm
  • Lateral and anterior incision on the hip not inflammatory
  • Range Of Motion : 90 / 0 / 30 / 30 / 20 / 0
  • Palpation of a soft mass in the groin
  • Blood sample: normal hemogramm and CRP <5
Test
Pre-op x-ray
 

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