Case Study: Revision Total Hip Replacement in a 64year old. Isolated acetabular component exchange
A 64 year-old female who previously had a Total Hip Replacement over a decade ago. She initially did well following her recovery and remained symptom-free up until several years ago she started to notice to some soreness in her hip that was new. It gradually worsened over time despite her attempts to alleviate it with physiotherapy and medication.
She presented to our clinic with new X-rays that demonstrated asymmetric polyethylene wear in her acetabular component liner. Acquisition of the details of her implants revealed that she did receive an older-generation polyethylene liner, which is known to exhibit signs of wear towards the end of its lifespan.
She is otherwise healthy with no major contributory medical or surgical issues, no known drug allergies and regular medications only for anxiety and hypothyroidism. She has been fit and active up until the onset of her new hip pain.
More detailed examination of her radiographs revealed signs of bone loss around the acetabulum, likely as a result of an inflammatory response generated by polyethylene particles generated from the wear phenomenon. Her femoral component appeared intact with no major issues.
We counselled Mrs. IS that she would require revision surgery of her acetabular component due to her polyethylene wear, and that we would need to revise her entire acetabular component as the type of liner she had implanted is no longer made, but also due to the possibility of loosening of her acetabular component as a result of the bone loss from the polyethylene wear.
She accepted and consented, and we planned for her to receive surgery as soon as possible. We performed a posterior approach – the approach used for her first hip replacement and exposed her artificial hip fully. We dislocated it and used special instruments to first remove her acetabular liner, and then her acetabular component. We observed minimal bone loss, and so placed a slightly larger revision acetabular component in its place, ensuring stability and leg length were both restored.
Mrs. IS recovered within 3 months of her surgery, and is back to being fit and active and pain-free in her right hip.
Pre-op
Post-op
Call Us Now!
Hip Case Studies
- Hip dislocation treatment – Acetabular component exchange in total hip replacement
- Complex Hip replacement – Implant removal with total hip replacement
- Revision Total Hip Replacement in a 64year old. Isolated acetabular component exchange
- Right Total Hip Arthroplasty – 74 year old male
- Bilateral Total Hip Replacement – 65 yr. old female
- Right Total Hip Replacement in a 75-year-old female
- Primary Total Hip Arthroplasty in an 84-year-old female with Hip Arthritis
- Left Hip Total Replacement in a 54-year-old female with Hip Arthritis
- Staged Revision of Infected Left Total Hip Replacement in an 80-year-old female
- Left Total Hip Replacement in an 82-year-old male
- Robotic Right Hip Total Replacement in a 75-year-old male
- Robotic Bilateral Total Hip Replacement in a 65-year-old female with Arthritis
- Robotic Total Hip Replacement in a 48-year-old male with sequel of Developmental Dysplasia of the Hip
- Management of Right Hip Arthritis with Robotic Total Hip Replacement
- Management of Right Hip Arthritis with Robotic Total Hip Replacement
- Bilateral Total Hip Replacement in a 74-year-old Female
- Robotic Left Total Hip Replacement in a 71-year-old Female
- Left Total Hip Replacement in a 77-year-old female with Hip Arthritis
- Management of bilateral Hip Arthritis in a 66-year-old Male with Total Hip Replacement
- Right Hip Coxa Plana Management in a 56-year-old male by Total Hip Replacement
- Robotic Left Hip Total Replacement in sequel of Developmental Dysplasia of the Hip
- Left Total Hip Replacement in a 74-year-old Male
- Left Total Hip Replacement in a 77-year-old female with Hip Arthritis
Hip Services
- Hip Services
- Total Hip Replacement
- Anterior Hip Replacement
- Revision Hip Replacement
- Robotic Hip Replacement
- Avascular Necrosis
- Developmental Dysplasia of the Hip
- Snapping Hip Syndrome
- Makoplasty Anterior Hip Replacement
- Total Hip Joint Dislocation
- Total Hip Replacement Recovery Guide
- Direct Anterior Total Hip Arthroplasty
- Hip Pain
- Bilateral Total Hip Replacement (Simultaneous)
- Stem Cell Therapy for Avascular Necrosis of the Hip
- Total Hip Replacement Implants
- Corticosteroids Use & Avascular Necrosis of the Femoral Head
- Exercises After Hip Replacement
- Partial Hip Replacement Vs Total Hip Replacement
- Posterior Hip Replacement
- Hip Bursitis
- Hip Replacement Complications & Risks
- Swelling after Hip Replacement
- Transient Osteoporosis of the Hip
- Leg Length Discrepancy After Hip Replacement
- Hip Resurfacing vs Total Hip Replacement
- Minimally Invasive Total Hip Replacement
- Outpatient Hip Replacement
- Role of Fibular Bone Graft in the Treatment of Avascular Necrosis
- Uncemented Vs Cemented Hip Replacement
- Wearing out of Total Hip Replacement