THR With Acetabular Reconstruction

45 year old male with complaints of pain left hip since 2 months, difficulty in walking, Squatting, climbing up and down the stairs, has to walk with help of walker.

Past history- H/o right hip cemented Total Hip Replacement elsewhere. Closed cup placement and Varus placement of Stem noted in Right Hip

Clinical examination: Left hip rotations painful.

Shortening left lower limb.

Patient was investigated. X ray pelvis with both hips was performed and revealed AVN left hip.


  • Important to Identify the defect with Trial Reamer. This will help in estimating the Size of the defect and the area of uncovering
  • After putting the Graft, the Trial cup should be placed to Recheck
  • Reaming needs to be done after putting the Graft in place as this will ensure that Cup Placement is not Difficult
  • Final fixation can be done after Cup Placement
Dr. Kunal Shah

Dr. Kunal Shah

D(Ortho), D.N.B(Ortho), Fellow Joint Replacement(Germany)

Dr. Kunal Shah is the Director and Consultant Orthopaedic Surgeon at Ashutosh Hospital, Vadodara, Gujarat. He has special interest in Joint Replacement and Complex Trauma Surgery. He is the pioneering surgeon for Partial Knee Replacement and Comprehensive Knee Care approach in Vadodara.

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