Failed total hip arthroplasty

Case contributed by Domenico Nicoletti , 19 Dec 2023
Diagnosis certain
Changed by Mostafa Elfeky, 22 Dec 2023
Disclosures - updated 14 May 2023: Nothing to disclose

Updates to Study Attributes

Findings was changed:

X-ray left hip and pelvis

Left total hip arthroplasty with stem breakage in the distal section without fracturing the femoral cortex. Diffuse periprosthetic osteolysis (bone resorption > 2 mm) with endosteal scalloping in the proximal femur due to particle disease is also noted. Green zones 1,2,3,7,6,5. Right arthritic hip with severe joint space loss.

Caption was added:
X-ray left hip and pelvis
Images Changes:

Image X-ray (Frontal) ( update )

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Image X-ray (Frontal) ( update )

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Image X-ray (Oblique) ( update )

Specifics was removed.
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Updates to Case Attributes

Body was changed:

Bone resorption >2 mm indicates local loosening and can be used as a marker for the possible need for revision. Fracture or deformation across the implant is often a sign of incomplete fixation of the implant or thinned components due to corrosion. This indicates lack of stability of the implant structure and requires revision.

Radiographer: TSRM Fabio Imola

  • -<p>Bone resorption &gt;2 mm indicates local loosening and can be used as a marker for the possible need for revision. Fracture or deformation across the implant is often a sign of incomplete fixation of the implant or thinned components due to corrosion. This indicates lack of stability of the implant structure and requires revision.</p><p></p><p></p><p>Radiographer: TSRM Fabio Imola</p>
  • +<p>Bone resorption &gt;2 mm indicates local <a href="/articles/aseptic-loosening-of-hip-joint-replacements" title="Aseptic loosening of hip joint replacements">loosening</a> and can be used as a marker for the possible need for revision. Fracture or deformation across the implant is often a sign of incomplete fixation of the implant or thinned components due to corrosion. This indicates lack of stability of the implant structure and requires revision.</p><p></p><p></p><p>Radiographer: TSRM Fabio Imola</p>

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