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