Some clinical situations present challenging a more complex or challenging scenario than standard hip replacement.

For example, a patient may have have severe hip dysplasia, avascular necrosis, a metabolic bone disease, previous fracture, a bone deformity or other problem which then makes hip replacement more challenging. Mr Freedman is trained and skilled in the management of complex hip problems and will be able to advise on how to manage your hip if you require a complex primary hip replacement.

The following clinical case demonstrates some of these principles:

This patient (see image opposite) presented with hip pain after previous femoral neck fracture.

The fracture had healed but the hip had gone on to develop avascular necrosis and collapse of the femoral head, to the point where the fracture fixation was now protruding into the hip joint.  The patient required hip replacement but a standard prosthesis that only extended to the level of the previous fracture fixation would have been at risk of new fracture through the old screw holes. The main screw had also eroded into the hip socket.

It was therefore elected to treat this with a special long-stem femoral component that extended well beyond the level of the previous screws (see image far right) . On the acetabular (socket) side, a modular dual mobility component was used for enhanced stability.

The final hip replacement was very stable and the patient was able to weightbear and mobilise immediately post surgery.

Please contact our office if you require consultation or advice on the management of any complex or challenging hip problem.